Dudhe Sakshi S, Waghulkar Shubham, Mishra Gaurav V, Parihar Pratapsingh, Nimodia Devyansh
Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Sep 24;16(9):e70079. doi: 10.7759/cureus.70079. eCollection 2024 Sep.
Uterine perforation represents an uncommon yet potentially significant complication that may arise during the process of dilation and curettage (D&C), a frequently conducted procedure employed for a variety of gynaecological indications, including missed abortion. This report delineates an atypical case of uterine perforation in a 30-year-old female patient who underwent D&C subsequent to a missed abortion at 10 weeks of gestation and subsequently experienced acute abdominal discomfort accompanied by clinical features of internal haemorrhage shortly after the intervention. Diagnostic imaging corroborated the occurrence of uterine perforation, prompting the execution of emergency surgery to rectify the perforation and address concomitant complications. Following the surgical intervention, the patient achieved a complete recovery. This case report underscores the necessity for heightened vigilance during D&C procedures. The early identification and swift surgical management of this condition are imperative to avert severe morbidity or mortality associated with this infrequent complication. Furthermore, it accentuates the importance of pre-operative counselling and post-operative surveillance to ensure the timely identification and management of potential complications.
子宫穿孔是一种罕见但可能严重的并发症，可能发生在刮宫术（D&C）过程中。刮宫术是一种常用于多种妇科适应症（包括稽留流产）的常见手术。本报告描述了一名30岁女性患者的非典型子宫穿孔病例，该患者在妊娠10周稽留流产后接受了刮宫术，术后不久出现急性腹部不适并伴有内出血的临床特征。诊断性影像学检查证实了子宫穿孔的发生，促使实施急诊手术以修复穿孔并处理相关并发症。手术干预后，患者完全康复。本病例报告强调了在刮宫术过程中提高警惕的必要性。早期识别并迅速进行手术处理这种情况对于避免与这种罕见并发症相关的严重发病或死亡至关重要。此外，它强调了术前咨询和术后监测的重要性，以确保及时识别和处理潜在并发症。
