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Dilatation and curettage (D&C) is a common diagnostic and therapeutic procedure for the gynecologic-obstetric practice. This procedure is associated with a series of complications such as bleeding, perforation, infection, and intrauterine adhesion. The overall perforation rate for first trimester abortions is around 0.8–1.3 per 1,000 according to different authors [1, 2]. Herein, we present a rare complication of D&C iatrogenic uterine perforation resulting in Richter's hernia, which required segmental resection of the involved small intestine. To the best of our knowledge, we believe that this is the first case report in the literature.

Iatrogenic uterine perforation resulting in Richter's hernia: a rare complication of dilatation and curettage