Abstract
BACKGROUND: Uterine perforation is an infrequent but serious complication of dilation and evacuation (O&E). The purpose of this case report is to describe management strategies once a uterine perforation is identified.
CASE: A 15-year-old female at 15 weeks' gestation presented to a freestanding clinic for elective abortion. After serial cervical dilation, omentum was seen in the suction curette. The patient was transferred to a nearby hospital, she underwent an exploratory laparotomy. A 1.5-cm anterior uterine perforation was found. The uterus was evacuated under direct visualization prior to repair of the defect.
CONCLUSION: Uterine perforation during D&E often requires laparotomy to repair the defect and to evaluate for injury to adjacent organs. Evacuation can be completed transcervically under direct visualization or through the perforation site.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 254-256 |
| Number of pages | 3 |
| Journal | The Journal of reproductive medicine |
| Volume | 60 |
| Issue number | 5-6 |
| State | Published - May 1 2015 |
ASJC Scopus subject areas
- Medicine(all)