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Emergency Radiology
Published in: Emergency Radiology 1/2006

01-09-2006 | Case Report

Uterine perforation and small bowel incarceration: sonographic and surgical findings

Authors: Suzanne G. Shulman, Carrie L. Bell, Frederick E. Hampf

Published in: Emergency Radiology | Issue 1/2006

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Abstract

Uterine perforation rarely complicates a first trimester surgical abortion, but perforation resulting in vascular or intraabdominal organ damage may require surgical intervention. The index of suspicion for uterine perforation needs to remain high when a patient presents with abdominal/pelvic pain after an abortion, as the sonographic appearance of the uterus can be variable over time.
Literature
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Kambiss SM, Hibbert ML, Macedonia C, Potter ME (2000) Uterine perforation resulting in bowel infarction: sharp traumatic bowel and mesenteric injury at the time of pregnancy termination. Mil Med 165:81–82PubMed
2.
McArdle CR, Goldberg RP, Rachlin WS (1984) Intrauterine small bowel entrapment and obstruction complicating suction abortion. Gastrointest Radiol 9:239–240PubMedCrossRef
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Strauss LT, Herndon J, Chang J et al (2004) Abortion surveillance—United States, 2001. Morb Mortal Wkly Rep CDC Surveill Summ 53(9):1–32 (Nov 26)
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Bartlett LA, Berg CJ, Shulman HB, et al (2004) Risk factors for legal induced abortion-related mortality in the United States. Obstet Gynecol 103:729–737PubMed
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Hakim-Elahi E, Tovell HM, Burnhill MS (1990) Complications of first-trimester abortion: a report of 170,000 cases. Obstet Gynecol 76:129–135PubMed
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Grimes DA, Schulz KF, Cates W (1984) Prevention of uterine perforation during curettage abortion. JAMA 251:2108–2111PubMedCrossRef
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Dillon EH, Case CQ, Ramos IM, Holland CK, Taylor KWJ (1993) Endovaginal US and Doppler findings after first trimester abortion. Radiology 186:87–91PubMed
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Bar-Hava I, Aschkenazi S, Orvieto R et al (2001) Spectrum of normal intrauterine cavity sonographic findings after first-trimester abortion. J Ultrasound Med 20:1277–1281PubMed
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Ascher SM, Scoutt LM, McCarthy SM, Lange RC, DeCherney AH (1991) Uterine changes after dilation and curettage: MR imaging findings. Radiology 180:433–435PubMed
Metadata
Title
Uterine perforation and small bowel incarceration: sonographic and surgical findings
Authors
Suzanne G. Shulman
Carrie L. Bell
Frederick E. Hampf
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
Emergency Radiology / Issue 1/2006
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-006-0499-3

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