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Sonographic and magnetic resonance imaging findings of pelvic abscess following uterine perforation sustained during office endometrial sampling

✍ Scribed by Ovadia Abulafia; Tana Shah; Ghadir Salame; Kathrine Economos; Eli Serur; Harry Zinn; Margarita Sokolovkski; David M. Sherer


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
141 KB
Volume
39
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

Pipelle endometrial sampling, an outpatient, office‐based procedure, provides comparative successful endometrial sampling in comparison with other techniques including conventional dilatation and curettage. We present an unusual occurrence in which office Pipelle endometrial sampling in a perimenopausal patient was complicated 10 days later by lower abdominal pain and intermittent fever. Sonography depicted findings consistent with a large pelvic abscess overriding the uterine fundus. Sonography and magnetic resonance imaging confirmed the presence of the unusual pelvic abscess and, in addition, noted findings consistent with perforation of the uterus during endometrial sampling. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2011