Abstract
Background: Dilation and curettage (D&C) is a safe, common surgical procedure. Complications occur rarely, but outcomes depend upon prompt recognition and management of such complications. Acute abdominal pain after D&C, even without a suspicion of hemorrhage, warrants additional evaluation. Case: A 36-year-old gravida 5, para 2022, woman underwent a suction D&C in early pregnancy and, postoperatively, had significant pain symptoms and signs of an acute abdomen. Diagnostic laparoscopy revealed an incarcerated, transected fallopian tube drawn into the endometrial cavity through a small uterine perforation. The incarcerated fallopian tube was released from the myometrial defect, and salpingectomy was performed. Results: The patient was discharged to go home on the day of surgery, and her recovery was unremarkable. Conclusions: Uterine perforation during D&C might involve adnexal structures or the surrounding viscera. This case report is the first report of immediate laparoscopic management of fallopian-tube incarceration after uterine perforation. Laparoscopy is the preferred approach for a patient with suspected uterine perforation who is hemodynamically stable.
Original language | English (US) |
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Pages (from-to) | 54-56 |
Number of pages | 3 |
Journal | Journal of Gynecologic Surgery |
Volume | 35 |
Issue number | 1 |
DOIs | |
State | Published - Feb 2019 |
Keywords
- Dilation and curettage
- fallopian tube incarceration
- uterine perforation
ASJC Scopus subject areas
- Surgery
- Obstetrics and Gynecology