[Bladder perforation as a complication of uterine curettage after spontaneous abortion].

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.