Incarceration of the appendix complicating a uterine perforation following surgical abortion: CT aspects

A. Dignac, S. Novellas, M Fournol, T. Caramella, Ali Fattahi Bafghi, P. Chevallier
In: Emergency Radiology · 2008 · vol. 15(4) , pp. 267–269 · doi:10.1007/s10140-007-0679-9 · PMID:18193307 · W1971750308
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This case report describes a 39-year-old patient whose uterine perforation during surgical abortion led to appendix incarceration within the myometrium, identified via CT multiplanar reconstruction.

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Abstract

A 39-year-old patient was evaluated for pelvic pain and infection following a surgical abortion performed via aspiration curettage. A pelvic computed tomography (CT) revealed an invagination of fat in the uterine wall accompanied by an abscess in the rectouterine pouch. Laparoscopic exploration revealed an incarcerated cecal appendix within the myometrium with necrosis of the appendiceal base as the culprit. A posteriori, CT multiplanar reconstruction allowed identification of the incarcerated appendix within the myometrium. To our knowledge, this CT description is the only case described in the literature.

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