Bleeding in the retroperitoneal space under the broad ligament as a result of uterine perforation after dilatation and curettage: Report of a case

2017 ◽  
Vol 43 (4) ◽  
pp. 779-782 ◽  
Author(s):  
Hisato Tokuda ◽  
Satoshi Nakago ◽  
Hiroki Kato ◽  
Tetsuya Oishi ◽  
Fumikazu Kotsuji
Keyword(s):  
Broad Ligament ◽  
Retroperitoneal Space ◽  
Uterine Perforation ◽  
Dilatation And Curettage

scholarly journals Uterine perforation and small bowel incarceration 11 months after dilatation and curettage: sonographic and surgical findings

2017 ◽  
Vol 49 (2) ◽  
pp. 278-278 ◽  
Author(s):  
A. De Cicco ◽  
F. Mascilini ◽  
M. Ludovisi ◽  
F. De Cicco ◽  
G. Scambia ◽  
...  
Keyword(s):  
Small Bowel ◽  
Uterine Perforation ◽  
Dilatation And Curettage ◽  
Small Bowel Incarceration

scholarly journals Perforated uterus

2018 ◽  
Vol 3 (1) ◽  
pp. 46-47
Author(s):  
Justus W Ngatia
Keyword(s):  
Early Detection ◽  
Pregnancy Loss ◽  
Uterine Perforation ◽  
Potential Complication ◽  
Major Health Problem ◽  
Major Health ◽  
Pregnancy Failure ◽  
Dilatation And Curettage ◽  
Early Pregnancy Failure

Early pregnancy failure is a major health problem worldwide which occurs in 15-20% of pregnancies. During evacuation, uterine perforation is a potential complication. Careful post-evacuation follow-up helps in early detection of perforation. Perforation often requires laparotomy or laparoscopy to repair the defect and evaluate for injury to adjacent organs. Our patient had pregnancy loss at 12 weeks and uterine perforation during a dilatation and curettage procedure. She had laparotomy, evacuation through the perforation site and uterine repair with good outcome.

Sonohysterography in a suspected case of uterine perforation after dilatation and curettage for retained placenta

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Norihito Yoshioka ◽  
Junichi Hasegawa ◽  
Akiko Tozawa ◽  
Kentaro Nakamura ◽  
Tai Kawahara ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Uterine Cavity ◽  
Pathological Examination ◽  
Emergency Laparotomy ◽  
Uterine Perforation ◽  
Suspected Case ◽  
Safe Procedure ◽  
Fast Evaluation ◽  
Retained Placenta ◽  
Dilatation And Curettage

Abstract A 35-year-old woman, gravida 3, para 2, spontaneously delivered an infant without any major complications. On the 38th day after delivery, she returned to the hospital due to irregular bleeding. Transvaginal ultrasound showed a mass in the cervix; therefore, dilatation and curettage was performed, using placental forceps, to remove the retained placenta. During the procedure, a uterine perforation was suspected. Sonohysterography was performed in order to confirm the uterine perforation. The sonohysterogram revealed that the high echogenic mass that was suspected to be retained placenta was adhered on the posterior uterine myometrium. Saline that had been injected into the uterine cavity escaped into the Douglas pouch via a small hole in the posterior uterine wall. An emergency laparotomy was performed. Pathological examination of the removed uterus revealed placenta increta in the posterior wall, as well as an adjacent perforated fistula. Sonohysterographic diagnosis of uterine perforation in the present case was not only validated with diagnosis, but also the residual placenta was clearly visible. The use of sonohysterography for detection of a suspected case of uterine perforation after dilatation and curettage was accurate and provided a safe procedure for fast evaluation.

scholarly journals Uterine Perforation on Invasive Hydatidiform Mole during EMACO Treatment

2016 ◽  
Author(s):  
Bram Pradipta
Keyword(s):  
Hydatidiform Mole ◽  
Broad Ligament ◽  
Posterior Part ◽  
Exploratory Laparotomy ◽  
Recurrent Bleeding ◽  
Uterine Perforation ◽  
Long Term Treatment ◽  
History Of ◽  
Invasive Mole ◽  
The Right

Objective: Improving skill and knowledge to recognize and manage a rare case of uterine perforation on invasive hydatidiform mole. Method: Case report. Result: A 42 years old Indonesian woman, Parity 2 Abortus 2 with history of 2 c-sections and 2 curettage, came with chief complaint of recurrent vaginal bleeding since 4 months before admission. Patient had a history of previous curettage with indication of hydatidiform mole and recurrent bleeding with no histopathology results. On examination we found a vesicular mass with infiltration, destroying the right-front uterine corpus, size 8x6 cm with an internal echo mass. Chest x-ray showed multiple nodules in the lung. The patient, considered as low risk Gestational Trophoblastic Neoplasia patient with FIGO Score of 6, underwent chemotherapy with 2 series of methotrexate . Due to the non-declining level of -hCG, the regimen was added with EMACO. In the process of chemotherapy, the pa-tient’s-hCG declined but then she complained of major abdominal pain. Exploratory laparotomy was performed and we found a mass sized 5x5x5 cm on the right side of the uterus at the broad ligament with a rupture at the posterior part of the mass sized 0.5x0.5 cm. Upon incision of the uterus, we found a mass from the right side protruding to the isthmus of the uterus. Histopathology showed necrosis, blood and chorionic villi in myometrium corresponding to invasive mole. Patient was then given another 5 series of EMACO and her condition was unremarkable during the remaining course of treatment. Conclusion: Invasive mole treatment is determined based on the risk factors. Uterine perforation still occurred in this case regardless of the decreasing hCG level during EMACO treatment. It emphasizes the importance of clinical examination as chemotherapy responsiveness. Long-term treatment can have a good prognosis but good collaboration between the gynecologist and the patient is essential. [Indones J Obstet Gynecol 2014; 3: 162-165] Keywords: EMACO, invasive mole, perforation

scholarly journals Retained plastic instrument after 5 years of illegal abortion: a case report and literature review

2019 ◽  
Vol 8 (4) ◽  
pp. 1675
Author(s):  
Randriamahavonjy Romuald ◽  
Tanjona A. Ratsiatosika ◽  
Rasolofomanana Sonia ◽  
Ravelojaona Andriniaina ◽  
Rakotonirina Mahefa ◽  
...  
Keyword(s):  
Foreign Body ◽  
Caesarean Section ◽  
Placenta Previa ◽  
Broad Ligament ◽  
Rare Event ◽  
The Body ◽  
Uterine Perforation ◽  
High Morbidity ◽  
Illegal Abortion ◽  
Body Retention

The retained of a foreign body during a surgical procedure is defined by the forgetting of a material, left by inattention in the body of the patient during this act. It is a rare event but is responsible for high morbidity and mortality. Authors report a retained foreign body incidentally discovered during a caesarean section. The patient had performed an illegal abortion by endo-uterine instrument which was complicated by uterine perforation five years previously. She was pregnant at 37 weeks and presented to the emergency department for bleeding and diagnosed as placenta previa. The antecedent of abortion had not been informed because it is an illegal act in Madagascar. The plastic instrument was in the broad ligament in contact with the ureter and the uterine artery. Caesarean section, the removal of the catheter and postoperative recovery was uneventful. Foreign body retention remains a malpractice and the diagnosis must be made in the face of chronic pain in patients who have undergone surgery.

scholarly journals Prolapse of the Small Intestine from the Uterine Perforation at Dilatation and Curettage

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Shigeki Matsubara ◽  
Akihide Ohkuchi ◽  
Hiroaki Nonaka ◽  
Homare Ito ◽  
Alan T. Lefor
Keyword(s):  
Developing Countries ◽  
Small Intestine ◽  
Adverse Events ◽  
Intestinal Resection ◽  
Uterine Wall ◽  
Uterine Perforation ◽  
Missed Abortion ◽  
Developed Country ◽  
Dilatation And Curettage ◽  
Tertiary Center

Dilatation and curettage (D&C) sometimes causes uterine perforation, which usually does not cause a serious problem. Here, we report uterine perforation caused by D&C, in which the small intestine prolapsed from the uterus, requiring intestinal resection. D&C was performed for missed abortion at 9 weeks. After dilating the cervix, forceps grasped tissue that, upon being pulled, resulted in the intestine being prolapsed into the vagina. Laparotomy revealed a perforation at the low anterior uterine wall, through which the ileum had prolapsed. The mesentery of the prolapsed ileum was completely detached and the ileum was necrotic, which was resected. The uterus and the intestine were reconstructed. Although intestinal prolapse is considered to be caused by “unsafe” D&C performed by inexperienced persons or even by nonphysicians in developing countries, this occurred in a tertiary center of a developed country. We must be aware that adverse events such as uterine perforation with intestinal prolapse can occur even during routine D&C.

UTERINE PERFORATION DURING DILATATION AND CURETTAGE

1963 ◽  
Vol 18 (4) ◽  
pp. 575-577
Author(s):  
H. Melvin Radman ◽  
William Korman
Keyword(s):  
Uterine Perforation ◽  
Dilatation And Curettage

scholarly journals Displaced intrauterine contraceptive device: a prospective study at tertiary level hospital of Uttarakhand, India

2018 ◽  
Vol 7 (4) ◽  
pp. 1617
Author(s):  
Nidhi Kumari ◽  
Vineeta Gupta ◽  
Priyanka Chaudhari ◽  
Shweta Nimonkar ◽  
Archna Tandon
Keyword(s):  
Prospective Study ◽  
Broad Ligament ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
And Migration ◽  
A Prospective Study ◽  
Level Hospital ◽  
Rule Out

Background: The IUCD is a common method used for contraception. It is associated with complications like bleeding, perforation and migration to neighbouring organs as broad ligament, urinary bladder or omentum.Methods: A prospective study was carried out at SGRRIM and HS, Dehradun over a period of two years between January 2014 to December 2015. A total of 38 patients with a diagnosis of displaced IUCD were included for their detailed demographic profile, presenting complaints, required diagnostic and therapeutic modalities.Results: Ultrasound emerged as the preferred method to locate the displaced device. Majority of displaced IUCD were intrauterine (86.9%) and Hysteroscopy guided removal was the preferred method of removal regarding technique, safety, and cost and recovery time.Conclusions: Responsibility of care provider does not end at insertion of IUCD. Follow up is equally important. Every case of missing IUCD must be investigated carefully to rule out the possibility of uterine perforation.

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