title: Totally laparoscopic repair of an ileal and uterine iatrogenic perforation secondary to endometrial curettage.
abstract: Small bowel perforation is a unique, serious complication during endometrial biopsy. The authors report a case of a double uterine-ileal perforation totally managed by primary laparoscopic repair. A 63-year-old female was admitted with acute abdomen 2 days after an endometrial curettage. Abdominal X-ray shows signs of pneumoperitoneum. Emergency diagnostic laparoscopy was performed and a uterine-ileal perforation was identified. Repair was accomplished by a totally laparoscopic intracorporeally suturing of the 2 breaches. Postoperative course showed only a delayed ileus and the patient was discharged after 5 days with no complications. When acute abdomen arises following uterine biopsy, a potential iatrogenic intestinal laceration always has to be ruled out. Laparoscopic approach is a quick and safe technique in these cases. Totally laparoscopic primary closure of the iatrogenic ileal laceration may be accomplished with low morbidity.
authors.affiliation: Department of Surgery, University of Catania, Policlinico-Vittorio Emanuele University Hospital, Catania, Italy.
authors.forename: Rosario
authors.initials: R
authors.lastname: Vecchio
authors.forename: Salvatore
authors.initials: S
authors.lastname: Marchese
authors.forename: Vito
authors.initials: V
authors.lastname: Leanza
authors.forename: Antonio
authors.initials: A
authors.lastname: Leanza
authors.forename: Eva
authors.initials: E
authors.lastname: Intagliata
mesh_terms: D003475:Curettage / Q000009:adverse effects*; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007082:Ileum / Q000293:injuries* / Q000601:surgery*; D007416:Intestinal Perforation / Q000601:surgery; D010535:Laparoscopy; D014595:Uterine Perforation / Q000209:etiology* / Q000601:surgery
keywords: Endometrial curettage; Primary laparoscopic repair; Small bowel perforation; Uterine puncture