A UTERINE PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY: CASE REPORT

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VATANCHI ATIYEH; POURALI LEILA; JAFARI MONA

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Journal: Tehran University Medical Journal Year:2018 | Volume:76 | Issue:2 Page(s): 148-152

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Title

A UTERINE PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY: CASE REPORT

Author(s)

VATANCHI ATIYEH | POURALI LEILA | JAFARI MONA | Issue Writer Certificate

Keywords

UTERINE PERFORATIONQ2

PREGNANCYQ1

LAPAROSCOPIC CHOLECYSTECTOMYQ2

COMPLICATIONSQ1

PREGNANCY COMPLICATIONSQ1

Abstract

Background: Laparoscopy is an acceptable procedure for cholecystitis in PREGNANCY.Laparoscopic COMPLICATIONS during PREGNANCY can be unique. UTERINE PERFORATION is a rare complication during laparoscopy of pregnant women. Acquaintance with this complication can help surgeons and gynecologist to manage these patients properly. We will report a case of UTERINE PERFORATION during laparoscopy.Case presentation: Our patient was a 24-year pregnant woman with gestational age of 28 weeks. She had nausea and vomiting and right upper quadrant tenderness, she was admitted in surgery ward on January 2017 in an academic hospital in Mashhad and candidate for LAPAROSCOPIC CHOLECYSTECTOMY with diagnosis of cholecystitis. Her fundal height was 28 centimeters. Laparoscopy was done with Hasson technique and three punctures. During abdominal trocar insertion UTERINE PERFORATION occurred. Amniotic fluid leaked in the abdomen. Perforation repaired immediately and then cholecystectomy was done. Fetal heart rate was normal. After surgery according to stable vital signs and absence of bleeding and contraction, the patient was transferred to the midwifery department. The patient received one course of betamethasone for fetal lung maturation. Antibiotic therapy initiated. During the hospitalization, the patient was monitored daily for vital signs (fever and tachycardia), uterine contraction, vaginal bleeding and vaginal bleeding. Daily fetal heart monitoring was performed. After close prenatal care cesarean section was done in 38 weeks of PREGNANCY and a healthy baby was born with appropriate Apgar score.Conclusion: Laparoscopy in pregnant women is usually safe. PREGNANCY-specific COMPLICATIONS such as uterine injury are not common, but with a series of precautions before and during surgery. These COMPLICATIONS can be reduced. UTERINE PERFORATION during laparoscopy if properly managed is usually not associated with significant risk.

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APA: Copy

VATANCHI, ATIYEH, POURALI, LEILA, & JAFARI, MONA. (2018). A UTERINE PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY: CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 76(2 ), 148-152. SID. https://sid.ir/paper/38460/en

Vancouver: Copy

VATANCHI ATIYEH, POURALI LEILA, JAFARI MONA. A UTERINE PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY: CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2018;76(2 ):148-152. Available from: https://sid.ir/paper/38460/en

IEEE: Copy

ATIYEH VATANCHI, LEILA POURALI, and MONA JAFARI, “A UTERINE PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY: CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 76, no. 2 , pp. 148–152, 2018, [Online]. Available: https://sid.ir/paper/38460/en

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