Uterine Perforation as a Complication of the Intrauterine Procedures Causing Omentum Incarceration: A Review.

Autor: Zorilă GL; Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania., Căpitănescu RG; Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania., Drăgușin RC; Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania., Istrate-Ofițeru AM; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Histology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.; Research Centre for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Bernad E; Department of Obstetrics and Gynaecology, 'Victor Babes' University of Medicine and Pharmacy, Eftimie Murgu Square no 2, 300041 Timisoara, Romania.; Clinic of Obstetrics and Gynaecology, 'PiusBrinzeu' County Emergency Hospital, 300723 Timisoara, Romania., Dobie M; Lugoj Municipal Council, Medical Assistance-Education Service Romania, 305500 Lugoj, Romania., Bernad S; Romanian Academy Timisoara Branch, Mihai Viteazul Avenue, 24, 300275 Timisoara, Romania., Craina M; Department of Obstetrics and Gynaecology, 'Victor Babes' University of Medicine and Pharmacy, Eftimie Murgu Square no 2, 300041 Timisoara, Romania.; Clinic of Obstetrics and Gynaecology, 'PiusBrinzeu' County Emergency Hospital, 300723 Timisoara, Romania., Ceaușu I; Department of Obstetrics and Gynaecology, 'Carol Davila' University of Medicine and Pharmacy, 'Dr I. Cantacuzno' Hospital, 020021 Bucharest, Romania., Marinaş MC; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania.; Department of Anatomy, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Comănescu MC; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania.; Department of Anatomy, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Zorilă MV; Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Drocaș I; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania.; Doctoral School, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Berbecaru EIA; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Doctoral School, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania., Iliescu DG; Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania.; Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 Jan 16; Vol. 13 (2). Date of Electronic Publication: 2023 Jan 16.
DOI: 10.3390/diagnostics13020331
Abstrakt: Objective: Omentum involvement resulting from uterine perforation is a rare complication following intrauterine procedures that might require immediate intervention due to severe ischemic consequences. This review examines the prevalence of this complication, risk factors, the mode and timing of diagnosis, the proper management and the outcome.
Methods: A systematic literature search was conducted on PubMed, PubMed Central and Scopus using uterine perforation, D&C, abortion and omentum as keywords. The exclusion criteria included the presence of the uterus or placenta's malignancy and uterine perforation following delivery or caused by an intrauterine device.
Results: The review included 11 articles from 133 screened papers. We identified 12 cases that three evaluators further analysed. We also present the case of a 32-year-old woman diagnosed with uterine perforation and omentum involvement. The patient underwent a hysteroscopic procedure with resectioning the protruding omentum into the uterine cavity, followed by intrauterine device insertion.
Conclusion: This paper highlights the importance of a comprehensive gynaecological evaluation following a D&C procedure that includes a thorough clinical examination and a detailed ultrasound assessment. Healthcare providers should not overlook the diagnosis of omentum involvement in the presence of a history of intrauterine procedures.
Databáze: MEDLINE
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