Omental penetration associated with uterine perforation after surgical abortion

Pamfamirov Yu.K., Sidorov D.M., Romanenko N.A., Khmara P.G.

1 Simferopol Clinical Maternal Hospital Two, Ministry of Health of the Republic of Crimea, Simferopol, Republic of Crimea, Russia; 2 S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia, Simferopol 295024, 60 years of October str. 30, Republic of Crimea, Russia; 3 Perinatal Center, N.A. Semashko Republican Clinical Hospital, Ministry of Health of the Republic of Crimea, Simferopol 295026, Semashko str. 8, Republic of Crimea, Russia
The most common intraoperative complication after surgical abortion is uterine perforation. The latter poses the greatest danger if not detected in time.
Objective. To improve methods for the prevention and treatment of complications after surgical abortion and to enhancy the efficiency and safety of various technologies.
Case report. The paper describes a rare clinical case of penetration of the perforation hole with an omental strand after surgical abortion. The feature is the delayed diagnosis of uterine perforation. Due to the omental penetration of the perforation hole, there was no intra-abdominal bleeding or hemodynamic disorders, the patient sought medical advice a few months later because of menstrual irregularities.

Keywords

artificial abortion
uterine perforation
endoscopic techniques

References

1. Suzuki S. Intestinal injury associated with uterine perforation due to surgical abortion in Japan. Gastoenterol. Res. 2017; 10(1): 63.

2. Tokuda H., Nakago S., Kato H., Oishi T., Kotsuji F. Bleeding in the retroperitoneal space under the broad ligament as a result of uterine perforation after dilatation and curettage: report of a case. J. Obstet. Gynaecol. Res. 2017; 43(4): 779-82.

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5. Багдасарян А.Р., Саркисов С.Э. Перфорация матки во время гистероскопии. Опухоли женской репродуктивной системы. 2014; 1: 85-90. [Bagdasaryan A.R., Sarkisov S.E. Perforation of the uterus during hysteroscopy. Opuholi zhenskoy reproduktivnoy sistemy/Tumors of the female reproductive system. 2014; 1: 85-90. (in Russian)]

6. Багдасарян А.Р., Саркисов С.Э. Осложнения диагностической и оперативной гистероскопии. Акушерство и гинекология. 2014; 1: 36-40. [Bagdasaryan A.R., Sarkisov S.E. Complications of diagnostic and operative hysteroscopy. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2014; 1: 36-40. (in Russian)]

Received 08.09.2017

Accepted 22.09.2017

About the Authors

Yuri K. Pamfamirov, MD, associate professor of the Department of Obstetrics and Gynecology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia. 295024, Republic of Crimea, Simferopol, 60 years of October str. 30. Tel.: +79787565196. E-mail: polina20may@ya.ru
Denis M. Sidorov, Ph.D., Perinatal Center, N.A. Semashko Republican Clinical Hospital, Ministry of Health of the Republic of Crimea. 295026, Republic of Crimea, Simferopol, Semashko str. 8. Tel.: +79788238455. E-mail: perinatalcrimea@yandex.ru
Nina M. Romanenko, MD, associate professor of the Department of Obstetrics and Gynecology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia. 295024, Republic of Crimea, Simferopol, 60 years of October str. 30. Tel.: +79788102408
Polina G. Khmara, student at the Department of Obstetrics and Gynecology No. 1, S.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal University,
Ministry of Education and Science of Russia. 295024, Republic of Crimea, Simferopol, 60 years of October str. 30. Tel.: +79787013874. E-mail: polina20may@ya.ru

For citations: Pamfamirov Yu.K., Sidorov D.M., Romanenko N.A., Khmara P.G. Omental penetration associated with uterine perforation after surgical abortion. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (6): 137-40. (in Russian)
https://dx.doi.org/10.18565/aig.2018.6.137-140
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