Intrauterine Fallopian Tube Incarceration after Suction Curettage with Uterine Perforation

Abstract

Suction curettage has historically been described as the safest and most effective procedure for miscarriages and abortions [ 1 Crockett LK Abortion. Clin Obstet Gynaecol. 1979; 6: 57-76 Google Scholar ]. A commonly cited complication of curettage is uterine perforation. In rare circumstances, consequences of uterine perforation may involve abdominopelvic organs and important pelvic vasculature [ 2 De Cicco A Mascilini F Ludovisi M De Cicco F Scambia G Testa AC. Uterine perforation and small bowel incarceration 11 months after dilatation and curettage: sonographic and surgical findings. Ultrasound Obstet Gynecol. 2017; 49: 278 Google Scholar , 3 Matsubara S Ohkuchi A Nonaka H Ito H Lefor AT. Prolapse of the small intestine from the uterine perforation at dilatation and curettage. Case Rep Obstet Gynecol. 2014; 2014164356 Google Scholar , 4 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: 779-782 Google Scholar , 5 Ozaki K Suzuki S. Uterine perforation with omentum incarceration after dilatation and evacuation/curettage. Arch Gynecol Obstet. 2013; 287: 607-608 Google Scholar , 6 Sedrati A Drizi A van Herendael B Djokovic D. Hysteroscopic diagnosis of omentum incarceration subsequent to an iatrogenic uterine perforation. J Minim Invasive Gynecol. 2019; 26: 29-30 Google Scholar , 7 Dignac A Novellas S Fournol M Caramella T Bafghi A Chevallier P. Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects. Emerg Radiol. 2008; 15: 267-269 Google Scholar ]. Complications of uterine perforation may ultimately play a role in the future fertility of these patients.