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Case Reports
. 2025 May 16;17(5):e84223.
doi: 10.7759/cureus.84223. eCollection 2025 May.

Incidental Diagnosis of Uterine Perforation During Lower Segment Caesarean Section: A Rare Obstetric Complication

Pallavi Chauhan  1
Affiliations
Case Reports

Incidental Diagnosis of Uterine Perforation During Lower Segment Caesarean Section: A Rare Obstetric Complication

Pallavi Chauhan. Cureus. .

Abstract

This case report describes the incidental finding of uterine perforation during lower segment cesarean section (LSCS) in a 30-year-old woman, G2A1 with a history of a missed abortion. The antenatal period of the current pregnancy was uncomplicated. The patient presented at 39 weeks with complaints of leaking. A detailed examination revealed thick meconium, leading to the diagnosis of premature rupture of membranes. In response to the urgency posed by potential fetal distress, an emergency LSCS was performed. Post-delivery, an incidental intraoperative finding revealed a 2 cm circular uterine perforation at the fundus, actively bleeding. Swift surgical intervention utilizing absorbable suture polyglactin 2.0 achieved successful hemostasis, preventing potential severe complications such as postpartum endometritis and peritonitis. This case highlights the importance of vigilance and prompt intervention in managing unexpected obstetric complications during LSCS.

Keywords: dilatation and curettage; missed abortion; perforation; polyglactin; premature rupture of membranes.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Circular uterine perforation
Figure 2
Figure 2. Perforation closed with absorbable suture polyglactin 2.0
See this image and copyright information in PMC

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