Uterine perforation

Uterine perforation
Classification and external resources
Specialty emergency medicine
ICD-10 S37
ICD-9-CM 867.4-867.5

Uterine perforation is a potential complication of any intrauterine procedure. It may be associated with injury to surrounding blood vessels or viscera such as the bladder or intestine. If not diagnosed at the time of the procedure it can occasionally result in massive hemorrhage or sepsis; however, the majority of uterine perforations are sub-clinical and safely resolve by themselves without treatment and do not cause any significant long-term damage.[1][2][3][4][5] Risk factors include cervical stenosis during trans-cervical procedures or decreased strength of the myometrial wall as in pregnancy or menopause.[6]

See also

References

  1. ↑ "You need not worry about long-term effects either. A uterine perforation presents no risk of uterine rupture during pregnancy or any other threat to your health. "Typically, a perforation heals up and you never know it was there," added Dr. Sholes-Douglas."
  2. ↑ "Most perforations ... tend to be located in the fundus and are usually self-limiting and less serious"
  3. ↑ "Uterine perforations ... are rarely noticed and almost never dangerous.... Since none of these resulted in complications, ... the authors recommended no treatment for the majority of known or suspected uterine perforations."
  4. ↑ "When this happens, as long as no internal organs (intestines, bladder, or rectum) or large blood vessels are damaged, the hole will almost always heal itself without further surgery."
  5. ↑ "In most cases of perforation there are no long term consequences."
  6. ↑ utdol.com > Uterine perforation during gynecologic procedures Author: Barbara S Levy, MD, PS. Retrieved on Feb 14, 2010


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