Sonographic Diagnosis of Extruded Fetal Parts From Uterine Perforation in the Retroperitoneal Pelvis After Termination of Intrauterine Pregnancy That Were Occult on Magnetic Resonance Imaging

Gakhal, Mandip; Levy, Howard M.

doi:10.7863/jum.2009.28.12.1723

Cited by 11 publications

(6 citation statements)

References 7 publications

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“…D&C is a diagnostic and therapeutic surgical procedure used frequently throughout the world and is considered to be relatively safe with a low overall complication rate of 0.7% [2].…”

Section: Discussionmentioning

confidence: 99%

“…On sonography, the perforation may be implied by presence of indirect findings like visualization of bowel loops in myometrial or endometrial cavity or demonstration of extrauterine fetal parts in a pregnant female who has undergone a surgical abortion procedure recently. Sonography may sometimes be able to demonstrate the site of uterine rupture as a hypoechoic or anechoic transmural defect in myometrium extending to endometrium with presence of extrauterine fluid [2]. Usage of high resolution transvaginal probes can enhance the detection of perforation defects and mural hematomas [7].…”

Section: Discussionmentioning

confidence: 99%

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Incarcerated Omentum With Tamponade Effect in the Uterine Perforation Scar After Dilation and Curettage: A Case Report

Kim

2014

J Med Cases

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Perforation of the uterus is the most common immediate complication at the time of dilatation and curettage (D&C). We experienced the case of a patient with intra-abdominal extrusion of fetal part and incarcerated omentum in the perforation site of uterine fundus after D&C. It resulted in massive bleeding after the reduction of the incarcerated omentum which had a tamponade effect. A 26-yearold gravida 2, para 1 woman was referred to our hospital because of uterine perforation during D&C. A laparoscopic exploration was performed. Bleeding started massively at the perforation scar after reduction of the incarcerated omentum which had a tamponade effect. Though bleeding from perforation site stopped after laparoscopic myometrial repair, vaginal bleeding persisted further. The placing of an intrauterine balloon tamponade stopped the vaginal bleeding. The patient recovered successfully and was discharged on the fifth postoperative day.

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“…D&C is a diagnostic and therapeutic surgical procedure used frequently throughout the world and is considered to be relatively safe with a low overall complication rate of 0.7% [2].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incarcerated Omentum With Tamponade Effect in the Uterine Perforation Scar After Dilation and Curettage: A Case Report

Kim

2014

J Med Cases

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“…DISCUSSION: D&C is a diagnostic and therapeutic surgical procedure used frequently with overall low complication rate of 0.7%. 1 The rate of perforation varies with the indication for the same. The perforation is more common when attempting for control of post-partum haemorrhage (5.1%) and less common for diagnostic curettage (0.3% in premenopausal and 2.6% in postmenopausal patient).…”

Section: Case Historymentioning

confidence: 99%

Unusual Case of Utero - Enteric Fistula

Palve¹,

Daver²,

Goyal³

2015

jebmh

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“…1 small bowel obstruction after surgical evacuation due to uterine wall perforation is extremely rare. 2 Vaginal evisceration is an emergency requiring prompt recognition and surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

Gut in the Womb

Gadre

2017

Int J Reprod Contracept Obstet Gynecol

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Dilatation and curettage is one of the common minor procedures with minimal complications but it can cause major complications like perforation of uterus, which is a surgical emergency and the delay in diagnosis and treatment has deleterious consequences for the mother. We are reporting this case of intestinal evisceration & its strangulation in puerpera after surgical evacuation for retained product of conception. This case is reported as evacuation is a commonly done procedure in puerperium for management of secondary PPH, hence want to emphasize that delay in the diagnosis of complications and management can lead to grave prognosis of the mother.

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Sonographic Diagnosis of Extruded Fetal Parts From Uterine Perforation in the Retroperitoneal Pelvis After Termination of Intrauterine Pregnancy That Were Occult on Magnetic Resonance Imaging

Cited by 11 publications

References 7 publications

Incarcerated Omentum With Tamponade Effect in the Uterine Perforation Scar After Dilation and Curettage: A Case Report

Incarcerated Omentum With Tamponade Effect in the Uterine Perforation Scar After Dilation and Curettage: A Case Report

Unusual Case of Utero - Enteric Fistula

Gut in the Womb

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