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Uterine perforation following manual removal of the placenta

Sayaka Okudaira1, Toyohiko Kuwashima, Nobuya Mine

  • 1Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, Japan.

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|October 28, 2003
PubMed

We present here a case of uterine perforation following manual removal of the placenta during the third stage of normal labor. Total abdominal hysterectomy was performed, and the 4x3-cm perforation of the uterus and placenta accreta were confirmed. In this case, the round ligament covering the hematoma prevented bleeding into the peritoneal cavity and peritonitis. Manual removal of the placenta should be performed carefully following ultrasonographic assessment for placental abnormalities such as placenta accreta.

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