Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects

Emergency Radiology
A DignacP Chevallier

Abstract

A 39-year-old patient was evaluated for pelvic pain and infection following a surgical abortion performed via aspiration curettage. A pelvic computed tomography (CT) revealed an invagination of fat in the uterine wall accompanied by an abscess in the rectouterine pouch. Laparoscopic exploration revealed an incarcerated cecal appendix within the myometrium with necrosis of the appendiceal base as the culprit. A posteriori, CT multiplanar reconstruction allowed identification of the incarcerated appendix within the myometrium. To our knowledge, this CT description is the only case described in the literature.

References

Aug 1, 1989·American Journal of Obstetrics and Gynecology·S G KaaliG S Bartfai
Nov 1, 1995·Annals of Emergency Medicine·E C Leibner
May 1, 1995·Acta Obstetricia Et Gynecologica Scandinavica·G Lindell, F Flam
Jul 12, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Genevieve L BennettGiovanna Giovanniello
Aug 17, 2006·Emergency Radiology·Suzanne G ShulmanFrederick E Hampf

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Citations

Feb 13, 2013·Archives of Gynecology and Obstetrics·Goran AugustinTomislav Luetić
Apr 10, 2014·Case Reports in Obstetrics and Gynecology·Shigeki MatsubaraAlan T Lefor
Nov 19, 2014·Journal of Obstetrics and Gynaecology of India·Elie NkwabongThierry Mvondo
Aug 23, 2012·Emergency Radiology·Charlotte Derr, Melinda Henry
Aug 14, 2012·The Journal of Emergency Medicine·Lisa M CoughlinJames Smith
Aug 26, 2015·Journal of Minimally Invasive Gynecology·Debra S Heller
Feb 13, 2010·The Journal of Obstetrics and Gynaecology Research·Ibrahim AlanbayIskender Başer
Nov 7, 2016·Journal de gynécologie, obstétrique et biologie de la reproduction·P Faucher
Dec 21, 2020·Annals of Emergency Medicine·Michelle H OrlowskiMatthew L Zerden

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