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

Authors

  • Narvir Singh Chauhan
  • Amit Gupta
  • Pawan Kumar Soni
  • Mukesh Surya
  • Som Raj Mahajan

DOI:

https://doi.org/10.3941/jrcr.v7i1.1332

Keywords:

Uterine perforation, septic abortion, surgical abortion, myometrial perforation

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.

Author Biographies

Narvir Singh Chauhan

Assistant Professor,

Department of Radiology

Amit Gupta

Assistant Professor,

Department of Gynecologyy

Pawan Kumar Soni

Assistant Professor,

Department of Radiology

Mukesh Surya

Assistant Professor,

Department of Radiology

Som Raj Mahajan

Assistant Professor,

Department of Surgery

Journal of Radiology Case Reports January 2013 issue - Isolated pancreatic tuberculosis: A case report and radiological comparison with cystic pancreatic lesions by Anna L. Falkowski et al.

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Published

2013-01-14

Issue

Vol. 7 No. 1 (2013)

Section

Obstetric & Gynecologic Radiology

License

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