Related Experiment Video
Updated: Jun 27, 2025
03:37
Iatrogenic Injury Recapitulated: Electroexcision Technique for Urethral Stricture Modeling in Rats
Published on: October 11, 2024
339
Vaginal Bleeding Due to Iatrogenic Uterine Perforation - A Case Report
John Costumbrado1,2, Leah Snyder2, Sassan Ghassemzadeh1,2
1University of California, Riverside, School of Medicine, Riverside, CA.
Summary
Uterine perforation, a rare complication after gynecologic procedures like dilation and curettage (D&C), can cause severe bleeding and organ injury. Prompt diagnosis with imaging and multidisciplinary surgical management are crucial for patient stabilization.
Area of Science:
- Gynecologic Surgery
- Emergency Medicine
- Radiology
Background:
- Uterine perforation is a rare but serious complication of gynecologic procedures.
- Risk factors include advanced maternal age, prior surgeries, and anatomical challenges.
- Complications can involve hemorrhage, infection, and injury to adjacent organs.
Purpose of the Study:
- To report a case of uterine perforation following dilation and curettage (D&C).
- To highlight the diagnostic and management strategies for this rare complication.
Main Methods:
- Clinical presentation of a patient with abdominal pain and vaginal bleeding post-D&C.
- Diagnostic confirmation using ultrasound (US) and computed tomography (CT).
- Operative management involving a multidisciplinary team (Gynecology, General Surgery, Urology).
Main Results:
- Diagnosis of uterine perforation was confirmed via US and CT.
- The patient underwent successful surgical management and stabilization.
- The patient was eventually discharged in stable condition.
Conclusions:
- Uterine perforation must be considered in patients with abdominal pain and vaginal bleeding after gynecologic instrumentation.
- Aggressive resuscitation, hemorrhage control, and emergent surgical consultation are vital for stabilization.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
90
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
90
01:28Esophageal Perforation-II: Clinical Manifestations and Management
56
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
56
01:28Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
01:24Esophageal Varices-I: Introduction
111
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
111
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
166
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
166