[Bladder perforation as a complication of uterine curettage after spontaneous abortion].
OBJECTIVE
To present a case of bladder and uterine perforation following curettage for first-trimester abortion.


METHODS
A 30 years-old female, pregnant of 19 week of gestation had undergone a therapeutic abortion for fetal death. Following the procedure, she presented hematuria and vaginal bleeding. A vesico-uterine perforation was achieved. An exploratory laparatomy was performed with repair of the bladder and the uterus.


RESULTS
There were no surgical complications. Eleven days after the laparatomy a cistography demonstrated closure of the perforation. The patient did well postoperatively. Two years later the patient was pregnant. A caesarean procedure with tubaric ligation was performed without complications.


CONCLUSIONS
Bladder perforation following uterine curettage is rare. Surgical management is necessary with bladder and uterus repair.
Madrid García
Francisco Javier
FJ
Servicio de Urología y Unidad de Documentación Clínica, Hospital El Bierzo, Ponferrada, León, España. madmad@usuarios.retecal.es
Madroñero Cuevas
Concepción
C
Rivas Escudero
José Antonio
JA
Parra Muntaner
Luis
L
Monsalve Rodríguez
Manuel
M
García Alonso
Jesús
J
D000022:Abortion, Spontaneous / Q000601:surgery*; D000328:Adult; D003475:Curettage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D001743:Urinary Bladder / Q000293:injuries*
Perforación vesical como complicación de legrado uterino por aborto espontáneo.