Omental penetration associated with uterine perforation after surgical abortion


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详细

The most common intraoperative complication after surgical abortion is uterine perforation. The latter poses the greatest danger if not detected in time. Objective. To improve methods for the prevention and treatment of complications after surgical abortion and to enhancy the efficiency and safety of various technologies. Case report. The paper describes a rare clinical case of penetration of the perforation hole with an omental strand after surgical abortion. The feature is the delayed diagnosis of uterine perforation. Due to the omental penetration of the perforation hole, there was no intra-abdominal bleeding or hemodynamic disorders, the patient sought medical advice a few months later because of menstrual irregularities.

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作者简介

Yuri Pamfamirov

Simferopol Clinical Maternal Hospital Two, Ministry of Health of the Republic of Crimea; S.I. Georgievsky Medical Academy, V.l. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia

Email: polina20may@ya.ru
MD, associate professor of the Department of Obstetrics and Gynecology No. 1

Denis Sidorov

Perinatal Center, N.A. Semashko Republican Clinical Hospital, Ministry of Health of the Republic of Crimea

Email: perinatalcrimea@yandex.ru
Ph.D.

Nina Romanenko

Simferopol Clinical Maternal Hospital Two, Ministry of Health of the Republic of Crimea; S.I. Georgievsky Medical Academy, V.l. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia

MD, associate professor of the Department of Obstetrics and Gynecology No. 1

Polina Khmara

S.I. Georgievsky Medical Academy, V.l. Vernadsky Crimean Federal University, Ministry of Education and Science of Russia

Email: polina20may@ya.ru
student at the Department of Obstetrics and Gynecology No. 1

参考

  1. Suzuki S. Intestinal injury associated with uterine perforation due to surgical abortion in Japan. Gastoenterol. Res. 2017; 10(1): 63.
  2. 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(4): 779-82.
  3. Su S., Tao G., Dong B., Shi L., Dong J. Delayed presentation of uterine perforation with ovary migration after dilatation and curettage. Int. J. Clin. Exp. Med. 2015; 8(4): 6311-4.
  4. Seol H.J., Ki K.D. Rupture of uterine serosal hematoma: delayed complication of uterine perforation. Clin. Exp. Obstet. Gynecol. 2015; 42(3): 388-9.
  5. Багдасарян А.Р., Саркисов С.Э. Перфорация матки во время гистероскопии. Опухоли женской репродуктивной системы. 2014; 1: 85-90.
  6. Багдасарян А.Р., Саркисов С.Э. Осложнения диагностической и оперативной гистероскопии. Акушерство и гинекология. 2014; 1: 36-40.

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