A Rare Case of Partial Uterine Perforation With Transcient Herniation of Bowel Loops Into It

Abstract

Saranya R, Rekha Agrawal, Sonjjay Pande, Avadhesh Pratap Singh Kushwah and Vishal S Rathore

Uterine perforation is an uncommon however a serious complication of major intrauterine procedures including dilatation and curettage,diagnostic and operative hysteroscopy, surgical evacuation. There is increased risk of uterine perforation with reduced access to the endometrial cavity as in cervical stenosis, severe anteflexion/ retroflexion of the uterus , pregnancy, lactation or post any uterine procedure that reduce the strength of the myometrial wall.

A 30-year-old female with a history of amenorrhea, bleeding, and a history of MTP pills was admitted to a private hospital. She experienced continuous bleeding for 8 days and was referred to a tertiary care hospital for further evaluation. On pelvic ultrasound, there was 10mm rent in the uterine fundus through which bowel loops and mesentery were seen herniating.

PDF