PMID: 15382576Sep 24, 2004Paper

Bladder perforation as a complication of uterine curettage after spontaneous abortion

Archivos españoles de urología
Francisco Javier Madrid GarcíaJesús García Alonso

Abstract

To present a case of bladder and uterine perforation following curettage for first-trimester abortion. A 30 years-old female, pregnant of 19 week of gestation had undergone a therapeutic abortion for fetal death. Following the procedure, she presented hematuria and vaginal bleeding. A vesico-uterine perforation was achieved. An exploratory laparatomy was performed with repair of the bladder and the uterus. There were no surgical complications. Eleven days after the laparatomy a cistography demonstrated closure of the perforation. The patient did well postoperatively. Two years later the patient was pregnant. A caesarean procedure with tubaric ligation was performed without complications. Bladder perforation following uterine curettage is rare. Surgical management is necessary with bladder and uterus repair.

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