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


METHODS
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.


CONCLUSIONS
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.
Department of Radiology, Dr Rajendra Prasad Government Medical College, Tanda, India. narvirschauhan@yahoo.com
Narvir Singh
NS
Chauhan
Amit
A
Gupta
Pawan Kumar
PK
Soni
Mukesh
M
Surya
Som Raj
SR
Mahajan
D015746:Abdominal Pain / Q000209:etiology; D000027:Abortion, Incomplete / Q000175:diagnosis / Q000209:etiology*; D000028:Abortion, Induced / Q000009:adverse effects*; D004107:Dilatation and Curettage / Q000009:adverse effects; D005260:Female; D006801:Humans; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014595:Uterine Perforation / Q000175:diagnosis / Q000209:etiology*; D055815:Young Adult
Uterine perforation; myometrial perforation; septic abortion; surgical abortion