Uterine perforation following manual removal of the placenta.
We present here a case of uterine perforation following manual removal of the placenta during the third stage of normal labor. Total abdominal hysterectomy was performed, and the 4x3-cm perforation of the uterus and placenta accreta were confirmed. In this case, the round ligament covering the hematoma prevented bleeding into the peritoneal cavity and peritonitis. Manual removal of the placenta should be performed carefully following ultrasonographic assessment for placental abnormalities such as placenta accreta.
Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, Japan.
Sayaka
S
Okudaira
Toyohiko
T
Kuwashima
Nobuya
N
Mine
Tsutomu
T
Takeuchi
Shunji
S
Suzuki
D000328:Adult; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000209:etiology*; D010921:Placenta Accreta / Q000628:therapy*; D011247:Pregnancy; D014595:Uterine Perforation / Q000209:etiology*