Perforación Uterina

Femenina de 33 años de edad con historia de legrado realizado hace 1 mes. En el día de este examen comenzó dolor peri-umbilical intenso. No ha tenido sangrado. Está en espera de su próxima menstruación. El examen sonografico vía transvaginal muestra un útero que mide aprox: 6.82 X 5.35 X 4.50 cm. No se aprecian signos sonograficos de embarazo o de lesiones miomatosas. La cavidad endometrial se visualiza totalmente ocupada por liquido hemático con un volumen aprox: de 9.61 c.c. Igualmente, el fondo de saco posterior muestra derrame liquido hemático con volumen aprox: de 35.78 c.c. Los anexos lucen libres de lesiones y los ovarios son de forma, tamaño y ecogenicidad normales. Se concluye con el diagnostico de perforación uterina tras legrado uterino. Al parecer se trata de una perforación uterina mínima que ha ido acumulando material hemático poco a poco durante todo 1 mes.

Uterine Perforation

33-year-old female with a history of curettage performed 1 month ago. On the day of this examination, intense peri-umbilical pain began. She has had no bleeding. She is waiting for her next menstruation. The transvaginal sonographic examination shows a uterus that measures approximately: 6.82 X 5.35 X 4.50 cm. No sonographic signs of pregnancy or myomatous lesions were observed. The endometrial cavity is seen to be completely occupied by blood fluid with a volume of approximately 9.61 c.c. Likewise, the posterior cul-de-sac shows blood fluid effusion with a volume of approximately 35.78 c.c. The adnexa appear free of lesions and the ovaries are of normal shape, size, and echogenicity. It concludes with the diagnosis of uterine perforation after uterine curettage. Apparently it is a minimal uterine perforation that has been accumulating blood material little by little for an entire month.

#1 Sangre en Cavidad Endometrial
#1 Blood in Endometrial Cavity

#2 Medidas Útero
#2 Uterus Measurements

#2 Medidas Útero

#2 Uterus Measurements

#3 Derrame Hemático Fondo de Saco
#3 Hematic Effusion Sack