We read with interest the article by Hwang et al. [1] which reported a case of delayed intestinal perforation, uterine perforation with recto-uterine fistula and vertebral osteomyelitis 29 days after high-intensity focused ultrasound (HIFU) treatment for uterine leiomyoma. This article reminds physicians that while HIFU is increasingly being considered an effective and safe option for treatment...

Introduction: Ultrasound is under utilised in assessing surgical complications such as uterine perforation resulting from surgical termination of pregnancy. Method: We found one report in literature using the following search words: pregnancy termination, uterus, perforation and ultrasound.1 The risk of perforation is considered low but the true incidence is unknown. The reported incidence is l...

BACKGROUND Uterine perforation is the most common complication of curettage and may result in bleeding. Therefore, urgent control of bleeding from the uterine wall perforation is necessary to avoid an emergency hysterectomy or blood transfusion, to prevent peritoneal adhesion formation, possible chronic pelvic pain, and infertility. In the present case, an active bleeding secondary to a perfora...

The authors demonstrate technique for obtaining endometrial fragments in 25 patients sent to Gynecological Cancer Preventive Service of the Arnaldo Vieira de Carvalho Cancer Institute, during the period of September 1991 through January 1992, presenting abnormal uterine hemorrhage. Technique consists in vacuum aspiration with the support of a No. 12 uretral sonde, provided with one lateral open...

Placenta increta is a condition characterized by abnormal adherence of the placenta owing to entire or partial absence of the decidua basalis. It is generally recognized during difficult placental removal at the time of delivery. It is a life-threatening complication of pregnancy due to massive hemorrhage, uterine perforation, and infection and thus often a hysterectomy is required. We review t...