title: Delayed presentation of uterine perforation with ovary migration after dilatation and curettage.
abstract: We present a rare but serious uterine perforation. A 31-year-old woman was referred to our department for hyperechogenic mass in uterus on ultrasonography after Dilation and curettage (D&C) for the adherent placenta and retained products of conception. Transvaginal ultrasound examination showed that a mass with several follicles measuring 35×29 mm was seen emanating from the right posterior wall of the uterine cavity, and there was absence of the myometrial tissue. A hysteroscopy and laparoscopy showed a uterine perforation with ovary incarceration. The ovary was rehabilitated, and the uterine perforation site was incised. D&C can not be performed when delayed presentation of uterine perforation with migration of an extrauterine organ is suspected, particularly, some of them are asymptomatic after a difficult intrauterine operation.
authors.affiliation: Department of Gynecology and Obstetrics, Shandong Univeristy Jinan 250012, P. R. China.
authors.forename: Shili
authors.initials: S
authors.lastname: Su
authors.affiliation: Department of Ultrasound, Qilu Hospital, Shandong Univeristy Jinan 250012, P. R. China.
authors.forename: Guowei
authors.initials: G
authors.lastname: Tao
authors.affiliation: Department of Gynecology and Obstetrics, Shandong Univeristy Jinan 250012, P. R. China.
authors.forename: Baihua
authors.initials: B
authors.lastname: Dong
authors.affiliation: Department of Ultrasound, Qilu Hospital, Shandong Univeristy Jinan 250012, P. R. China.
authors.forename: Linlin
authors.initials: L
authors.lastname: Shi
authors.affiliation: Department of Gynecology and Obstetrics, Shandong Univeristy Jinan 250012, P. R. China.
authors.forename: Jianchun
authors.initials: J
authors.lastname: Dong
keywords: Uterine perforation; hysteroscopy; laparoscopy; migration; ovary