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Case Reports
. 2015 Apr 15;8(4):6311-4.
eCollection 2015.

Delayed presentation of uterine perforation with ovary migration after dilatation and curettage

Shili Su  1 , Guowei Tao  2 , Baihua Dong  1 , Linlin Shi  2 , Jianchun Dong  1
Affiliations
Case Reports

Delayed presentation of uterine perforation with ovary migration after dilatation and curettage

Shili Su et al. Int J Clin Exp Med. .

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.

Keywords: Uterine perforation; hysteroscopy; laparoscopy; migration; ovary.

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Figures

Figure 1
Figure 1
Ultrasound image showed that a mass with several follicles was seen emanating from the right posterior wall of the uterine cavity and there was absence of the myometrial tissue.
Figure 2
Figure 2
Both sagittal and transverse T1 and T2-weighted MRI sequences. The MRI reported that the mass was embedded in the right posterior uterus wall.
Figure 3
Figure 3
Hysteroscopy showed that the right ovary was clearly visible in the uterine cavity.
Figure 4
Figure 4
Laparoscopy showed that part of the right ovary and oviduct migrated to uterine cavity.
See this image and copyright information in PMC

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