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. 2024 Oct 17;12(10):e9480.
doi: 10.1002/ccr3.9480. eCollection 2024 Oct.

Omental incarceration secondary to uterine perforation after dilatation curettage: Conservative approach in sub-saharan Africa

Ozer Birge  1 , Ilkan Kayar  2 , Fatthy Bello  2
Affiliations

Omental incarceration secondary to uterine perforation after dilatation curettage: Conservative approach in sub-saharan Africa

Ozer Birge et al. Clin Case Rep. .

Abstract

Key clinical message: Complications of uterine perforation and herniation of intra-abdominal organs into the perforated area may occur after gynecological operations. They can be treated with a conservative approach, especially in cases whose vital signs are stable, laboratory values are within normal limits and their general condition is suitable. We aim to present the conservative treatment without using surgical and medical methods as it is the first case in the literature.

Abstract: Uterine perforation is a rare but potentially serious complication of curettage for gynecologic or obstetric reasons especially during and after operative procedures and the application of intrauterine contraceptive devices. The incidence of uterine perforation during gynecological operations is between 0.002-1.7. A 30-year-old multiparous case with a 7-week 4-day pregnancy was diagnosed with incomplete abortion at an external center due to vaginal bleeding. The case underwent suction curettage. After 24 h, revision suction curettage was performed due to the finding of rest in the endometrium during the ultrasonographic control, and the case was diagnosed with uterine perforation and omental herniation due to this. We highlighted the importance of a thorough gynecological assessment following a dilated suction curettage (D&C) procedure that includes a careful clinical examination and a detailed ultrasound evaluation.

Keywords: conservative approach; dilatation curettage; omental incarceration; uterine perforation.

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Conflict of interest statement

All authors have no conflicts of interests to declare.

Figures

FIGURE 1
FIGURE 1
Transabdominal ultrasonographic image of the patient before the operation.
FIGURE 2
FIGURE 2
Illustrative image of bimanual vaginal examination as conservative treatment.
FIGURE 3
FIGURE 3
Transvaginal ultrasonographic image of the case after conservative approach.
See this image and copyright information in PMC

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