Department of Obstetrics and Gynecology, University of Bari, Policlinico of Bari, Bari 70124, Italy.
J Minim Invasive Gynecol. 2011 Mar-Apr;18(2):246-9. doi: 10.1016/j.jmig.2010.10.009.
Herein are presented 2 cases from the last 5 years. In case 1, a fallopian tube intussusception without perforation, misdiagnosed as a myoma, was observed at hysteroscopy of the uterine cavity 18 months after last vacuum aspiration. In case 2, a fallopian tube incarceration, misdiagnosed as a placental polyp, was observed 3 months after last suction curettage. Although uterine perforation caused by suction curettage after abortion or of afterbirth occurs rarely, it is a complication that must be taken into account because after this procedure there may be painful symptoms such as the typical triad of abdominal pain, vaginal discharge, and dyspareunia. In some situations, as in case 2, amenorrhea occurs alone, without other distressing symptoms. In both cases, a hysteroscopic approach was used; laparoscopy was necessary only in case 2.
呈现了过去 5 年中的 2 个病例。在第 1 例中，在最后一次负压吸引后 18 个月的子宫腔宫腔镜检查中观察到未穿孔的输卵管内套叠，误诊为肌瘤。在第 2 例中，在最后一次吸刮术后 3 个月观察到输卵管嵌顿，误诊为胎盘息肉。虽然流产或产后刮宫引起的子宫穿孔很少见，但这是一种必须考虑的并发症，因为在此手术后可能会出现腹痛、阴道分泌物和性交痛等典型三联征等疼痛症状。在某些情况下，如第 2 例，仅出现闭经而没有其他不适症状。在这两种情况下，都采用了宫腔镜方法；仅在第 2 例中需要腹腔镜检查。
