SONOWORLD : Perforated uterus with expelled fetus
 
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Obstetrics » Obstetrics 1st Trimester
Perforated uterus with expelled fetus
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Author(s) :
Vikas Arora, MD
 
Presentation This scan was performed following an attempted D and C that was performed by an untrained ‘health provider’ in a rural town at 13 weeks of gestation.
 
 
 
Caption: Scans of the pelvis
Description: There is free fluid noted in the pelvis. There is discontinuity noted in the posterior wall of the uterus as marked by arrows. The fetal head [as labeled] is seen outside the uterus within the pelvic cavity.
 
 
 
Caption: Sagittal scan of the uterus
Description: The rent in the posterior uterine wall is noted as marked by arrows.
 
 
 
Caption: Sagittal and transverse views of the uterus
Description: The expelled fetal head is seen in the transverse view with the rent in the posterior uterine wall seen in the sagittal scan.
 
 
 
Caption: Scans of right upper quadrant and pelvis
Description: Free fluid is noted in Morrison’s space and the discontinuity in the uterine wall is noted as marked by arrows.
 
Differential Diagnosis Perforated uterus with expelled fetus
 
Final Diagnosis Perforated uterus with expelled fetus
 
Follow Up This patient was operated upon and the findings confirmed.
 
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