The Teaching Point

Suspicion of uterine perforation should be kept in a female patient with abdominal pain and recent history of abortion. The rent may not be identifiable on ultrasound and a careful search for indirect signs of uterine perforation often leads to correct diagnosis. CT scan is useful in emergent situations and can reveal additional information on any coexisting visceral organ injury.






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From the manuscript

Iatrogenic uterine perforation with abdominal extrusion of fetal parts: A rare radiological diagnosis

Free full text article: Iatrogenic uterine perforation with abdominal extrusion of fetal parts: A rare radiological diagnosis

Abstract
Background: Failure to detect uterine perforation during surgical abortion may result in adverse patient outcome besides having medicolegal implications. This rare case of uterine perforation was diagnosed seven days after abortion and underscores the importance of remaining vigilant for this complication during and after the procedure. Case: A female underwent surgical abortion at sixteen weeks gestation and was discharged after the procedure, assuming no complication. She presented with abdominal pain seven days after the event. Ultrasound and CT revealed uterine perforation with abdominal expulsion of fetal parts. Conclusion: A patient complaining of abdominal pain following recent abortion related instrumentation should alert the clinician regarding possibility of perforation. Secondary signs on ultrasound may reveal the diagnosis even if rent is not identified. CT is valuable in emergent situations.






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