title: [Bladder perforation as a complication of uterine curettage after spontaneous abortion].
abstract: 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.
authors.affiliation: Servicio de Urología y Unidad de Documentación Clínica, Hospital El Bierzo, Ponferrada, León, España. madmad@usuarios.retecal.es
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Madrid García
authors.forename: Concepción
authors.initials: C
authors.lastname: Madroñero Cuevas
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Rivas Escudero
authors.forename: Luis
authors.initials: L
authors.lastname: Parra Muntaner
authors.forename: Manuel
authors.initials: M
authors.lastname: Monsalve Rodríguez
authors.forename: Jesús
authors.initials: J
authors.lastname: García Alonso
mesh_terms: D000022:Abortion, Spontaneous / Q000601:surgery*; D000328:Adult; D003475:Curettage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011247:Pregnancy; D001743:Urinary Bladder / Q000293:injuries*
vernacular_title: Perforación vesical como complicación de legrado uterino por aborto espontáneo.