Abstract
Perforation of the uterus usually results from either iatrogenic or, less frequently, spontaneous occurrences. Iatrogenic etiologies include perforations occurring during dilation and curettage, hysteroscopy and insertion of intrauterine contraceptive devices. Spontaneous etiologies include pyometra, gestational trophoblastic disease, placenta accrete and rarely degeneration of a myoma and uterine infarction. Procedure-related uterine perforation is usually considered and diagnosed clinically at the time of injury, hence the relative sparse literature regarding the imaging findings associatedwith uterine perforation. We report an unusual case in which uterine perforation was confirmed by sonography after pregnancy termination at 10 weeks’ gestation. We discuss the diagnosis and treatment.
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