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Hysteroscopic management of omentum incarceration secondary to uterine perforation: Case report and review of literature
Author(s) -
ProcasRamon Beatriz,
PoloOliveros Laura,
GabasaGorgas Lourdes,
RemachaSienes María,
SobrevielaLaserrada Mercedes
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14355
Subject(s) - medicine , hysteroscopy , uterine perforation , complication , uterotonic , surgery , curettage , perforation , laparoscopy , research methodology , family planning , population , materials science , environmental health , oxytocin , punching , metallurgy
Abstract Uterine perforation is a potential complication of intrauterine procedures that can be associated with vascular or visceral injury. We report the case of a 35‐year‐old woman diagnosed with omentum incarceration, secondary to a uterine perforation, during a dilatation and curettage. This rare complication was successfully managed by release of incarcerated omentum hysteroscopically. Sealing of uterine wall defect was achieved by administration of intravenous uterotonic drugs, thus, avoiding a major surgery. In conclusion, this is a novel approach to a case of uterine omental incarceration. To date, there are few cases reported in the literature and only one of them was managed by hysteroscopy. Hysteroscopy alone or combined hysteroscopic and laparoscopic approach when needed, should be attempted in such cases as it is safe and minimally invasive.