Archivos espanoles de urologia · 2004
[Bladder perforation as a complication of uterine curettage after spontaneous abortion].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Madrid García Francisco Javier, Madroñero Cuevas Concepción, Rivas Escudero José Antonio, Parra Muntaner Luis, Monsalve Rodríguez Manuel, García Alonso Jesús
Аннотация
OBJECTIVE: To present a case of bladder and uterine perforation following curettage for first-trimester abortion.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: Bladder perforation following uterine curettage is rare. Surgical management is necessary with bladder and uterus repair.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: Bladder perforation following uterine curettage is rare. Surgical management is necessary with bladder and uterus repair.