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  • Title: [Bladder perforation as a complication of uterine curettage after spontaneous abortion].
    Author: Madrid García FJ, Madroñero Cuevas C, Rivas Escudero JA, Parra Muntaner L, Monsalve Rodríguez M, García Alonso J.
    Journal: Arch Esp Urol; 2004 Jun; 57(5):552-4. PubMed ID: 15382576.
    Abstract:
    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.
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