Hysteroscopic management of omentum incarceration secondary to uterine perforation: Case report and review of literature

Uterine perforation is a potential complication of intrauterine procedures that can be associated with vascular or visceral injury. We report the case of a 35‐year‐old woman diagnosed with omentum incarceration, secondary to a uterine perforation, during a dilatation and curettage. This rare complic...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2020-09, Vol.46 (9), p.1916-1920
Hauptverfasser: Procas‐Ramon, Beatriz, Polo‐Oliveros, Laura, Gabasa‐Gorgas, Lourdes, Remacha‐Sienes, María, Sobreviela‐Laserrada, Mercedes
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container_end_page 1920
container_issue 9
container_start_page 1916
container_title The journal of obstetrics and gynaecology research
container_volume 46
creator Procas‐Ramon, Beatriz
Polo‐Oliveros, Laura
Gabasa‐Gorgas, Lourdes
Remacha‐Sienes, María
Sobreviela‐Laserrada, Mercedes
description Uterine perforation is a potential complication of intrauterine procedures that can be associated with vascular or visceral injury. We report the case of a 35‐year‐old woman diagnosed with omentum incarceration, secondary to a uterine perforation, during a dilatation and curettage. This rare complication was successfully managed by release of incarcerated omentum hysteroscopically. Sealing of uterine wall defect was achieved by administration of intravenous uterotonic drugs, thus, avoiding a major surgery. In conclusion, this is a novel approach to a case of uterine omental incarceration. To date, there are few cases reported in the literature and only one of them was managed by hysteroscopy. Hysteroscopy alone or combined hysteroscopic and laparoscopic approach when needed, should be attempted in such cases as it is safe and minimally invasive.
doi_str_mv 10.1111/jog.14355
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Case reports
Curettage
Dilatation and Curettage
Female
Humans
Hysteroscopy
Intravenous administration
Laparoscopy
Omentum
Omentum - surgery
omentum incarceration
Surgery
uterine perforation
Uterine Perforation - etiology
Uterine Perforation - surgery
Uterus
title Hysteroscopic management of omentum incarceration secondary to uterine perforation: Case report and review of literature
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