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CASE REPORT
Year : 2019  |  Volume : 6  |  Issue : 4  |  Page : 204-205

Bladder and uterine perforation after dilatation and curettage leading to high serum creatinine


Department of Obstetrics and Gynecology, MGM Medical College and Hospital, MGM Institute of Health Sciences (Deemed to be University), Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Ajita Goli
Department of Obstetrics and Gynecology, MGM Medical College and Hospital, MGM Institute of Health Sciences (Deemed to be University), Sector-1, Kamothe, Navi Mumbai 410209, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mgmj.mgmj_17_20

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A case of iatrogenic bladder perforation as a complication of dilatation and curettage was reported. A 28-year-old patient with a history of medical termination of pregnancy by dilatation and evacuation performed 3 days back, presented with distension of abdomen and giddiness. The laboratory investigations pointed toward renal failure with raised serum creatinine, and ultrasound was suggestive of ruptured ectopic pregnancy with hemoperitoneum. An emergency laparotomy was performed. Intraoperative findings were hemoperitoneum, left ruptured ectopic pregnancy, uterine perforation, and urinary bladder perforation. Left salpingectomy was performed, and urinary bladder was repaired. The serum creatinine levels were normal within 24h. Urinary bladder perforation may be suspected in postoperative dilation and evacuation (D and E) patients with impaired renal function tests.


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