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Case 26 - A 30-Year-Old G1 Woman with Suspected Uterine Perforation during Suction Dilation and Curettage

Published online by Cambridge University Press:  19 November 2021

By
Michelle M. Isley
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 30-year-old female, gravida1, para 0, presents to the office for a suction dilation and curettage (D&C) for management of a six-week missed abortion. Transvaginal ultrasound diagnosed the missed abortion one week ago and it was reconfirmed three days ago. She is taking ibuprofen 400 mg PO q 4 hours PRN and took diazepam 5 mg PO × 1 before arriving. She has no past medical or surgical history and no known drug allergies. On bimanual examination, a small, retroflexed uterus is noted. The cervix is stenotic, but dilation was able to be performed. Near the end of the procedure, the suction cannula passes without resistance deeper than expected. The patient describes a sudden increase in her pain. The procedure is stopped.

Keywords

uterine perforationdilation and curettagehemorrhagebowel injury
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 74 - 77
Publisher: Cambridge University Press
Print publication year: 2021

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References

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