Abstract
Cervical dilatation and endometrial curettage (D&C) is a commonly performed procedure which is generally considered to be safe. Although rare, uterine perforation is the most commonly encountered complication. In a study by Amarin and Badria [1], uterine perforations were mostly located at the uterine fundus, presumably caused by the introduction of cervical dilators. Hence, physicians should be especially cautious when difficult entry is encountered with a stenotic cervix. However, uterine perforation can also occur at places of weakness, such as a previous cesarean section scar. We present a patient with two previous cesarean section deliveries, who presented with ileus following a primary pregnancy evacuation procedure.
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