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Retained Fetal Parts After Elective Second-Trimester Dilation and Evacuation

Givens, Vanessa M. MD1; Lipscomb, Gary H. MD1

doi: 10.1097/01.AOG.0000236488.68364.f5
Case Reports
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BACKGROUND: Extrusion of fetal parts into the abdomen after second-trimester pregnancy termination is rare.

CASE: We report a case of extrusion of fetal parts into the broad ligament at the time of second-trimester pregnancy termination that remained undetected for 10 days.

CONCLUSION: In cases of perforation during second-trimester pregnancy termination, meticulous evaluation of the abdomen and pelvis with ultrasonography or computerized tomography should be performed if complete fetal evacuation cannot be confirmed.

Ultrasound examination of the abdomen and pelvis should be considered after uterine perforation during dilation and evacuation if complete evacuation cannot be confirmed.

From the 1Division of Gynecologic Specialties, Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee.

Corresponding author: Vanessa M. Givens, MD, Department of Obstetrics and Gynecology, Room E-102, 853 Jefferson Ave, Memphis, TN 38163; e-mail: vgivens@utmem.edu.

© 2007 The American College of Obstetricians and Gynecologists