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Doctor insights on: Symptoms Of Uterine Perforation

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What are symptoms of uterine perforation or embedment with mirena (levonorgestrel) IUD 1 year after insert. What would this show up as on transvaginal ultrasound? Thanx

What are symptoms of uterine perforation or embedment with mirena (levonorgestrel) IUD 1 year after insert. What would this show up as on transvaginal ultrasound? Thanx

Pain and discharge: Perforations of the uterus are usually painful. On the sonogram the problem will become evident as there is no IUD found within the uterus. There may be signs of air or even infection. A standard X-ray of the abdomen would be needed to locate the device. Hope that is not what has happened ...Read more

Dr. Jonathan Strauss
29 doctors shared insights

Uterine Perforation (Definition)

When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy ...Read more


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What is uterine perforation and how is it treated?

What is uterine perforation and how is it treated?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

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What is a uterine perforation and how is it repaired?

What is a uterine perforation and how is it repaired?

Perforation: The uterus is very muscular. Procedures with sharp instruments such as uterine curettage (d and c) may cause a defect through the uterine wall. Most often, these perforations heal spontaneously. ...Read more

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What is the definition or description of: uterine perforation?

What is the definition or description of: uterine perforation?

Uterine trauma: When performing a uterine procedure through the vagina, a complication can be a uterine perforation. This is when an instrument is inserted through all the layers of the uterus, creating a hole in the uterus. Most perforations occur in the midline away from large blood vessels and usually can be observed. Lateral perforations or injury with an active energy electrode requires abdominal exploration. ...Read more

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Had uterine perforation but the dr is not sure enough to treat?

Had uterine perforation but the dr is not sure enough to treat?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

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If need d&c will you end up with major issues such as uterine perforation?

Observation: Most uterine perforations will happen through the fundus or thicker muscular top of the womb. This area tends to heal well with minimal bleeding. Observation is appropriate as long as the patient's blood count is normal and no signs of infection are present. ...Read more

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What is the risk of uterine perforation from an iud?

What is the risk of uterine perforation from an iud?

Very low: Uterine perforation is a potential complication of placement of an iud. Once properly placed, the iud is not likely to move. Perforation rates may be as low as <1% for a very experienced physician who places iud's frequently. Ultrasound before and after placement will virtually eliminate the risk, as any improperly placed iud will be detected and can be corrected immediately. ...Read more

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What is the risk of uterine perforation with an IUD placement?

What is the risk of uterine perforation with an IUD placement?

Very low: This procedure very seldom causes any perforation of the uterine wall. ...Read more

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Uterine perforation occurred during removal of septum from uterus. Are such incidences frequent?

Uterine perforation occurred during removal of septum from uterus. Are such incidences frequent?

No, but a risk: This is a known risk and complication of this procedure and will happen occasionally with even the most experienced surgeon. As long as it is immediately recognized and appropriately managed you should be fine. ...Read more

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What are the symptoms of uterus perforation after a d & c?

What are the symptoms of uterus perforation after a d & c?

Varied: Uterine perforation symptoms range from none to increased cramping, severe lower abdominal pain, heavy vaginal bleeding, fever, dizziness, faintng. If you are having any of the more severe symptoms, please contact your doctor. Also, asking your doctor if there were any surgical complications may be helpful. ...Read more

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My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement. Has she been misdiagnosed?

My mom was sent home on hospice Sept 2nd with a perforated bowel and stage 4 uterine cancer. It's Sept 29 and she hasn't eaten or had a bowel movement. Has she been misdiagnosed?

See answer: Without knowing all the details it's not possible to give specific advice other than: Speak with her physician. Is she on Hospice care? If not, it may be helpful. Write down a list of questions you would like answers to. Her physician should be able to give reasonable answers. Knowing a family member is involved helps to keep physicians particularly attentive to your moms care. ...Read more

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Though it is rare, what causes progestin IUDs to fail in place within the uterus without perforation or expulsion?

Though it is rare, what causes progestin IUDs to fail in place within the uterus without perforation or expulsion?

No specific cause: IUD are very effective at preventing pregnancy but it only takes one sperm to fertilize an egg. Progesterone IUD have multiple mechanism of actions which is why they are so effective. That being said failures still occur as human reproduction can be hard to stop. This is how humans evolved. Permanent birth control via tubal ligation, Essure or vasectomy have the lowest (but not 0) failure rates. ...Read more

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How common is perforation or embedment of uterus from Mirena (levonorgestrel) really? Are the horror stories I have read just psyching me out?

One in 1000: The incidence of uterine perforation is about 1 in 1000. If a perforation does happen, the IUD can migrate into the abdomen and may need to be retrieved with laparoscopic surgery. The embedded IUDs I have seen are in women who have left the IUD in for 20 years--way longer than recommended. Its not common. Best wishes! ...Read more

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How to tell if IUD perforated uterus?

Examination: If the string is palpable or visible on pelvic examination, then it is less likely to have perforated. Also, have you notice any changes in pelvic or abdominal pain.? An Ultrasound or abdominal xray can also help determine if the IUD is in the right place. ...Read more

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What type of sugery is done after perforated uterus during abortion?

What type of sugery is done after perforated uterus during abortion?

DEPENDS: Please discuss with your doc, depends on how big it is, where it is, if there is active bleeding depending on the situation options are hospitalization with antibiotis and no surg, vs repair the perf vs hysterectomy. ...Read more

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How do I know if I have a perforated uterus? Can doctors see a perforated uterus in ultrasound

How do I know if I have a perforated uterus? Can doctors see a perforated uterus in ultrasound

Best way..: To see perforated uterus is on CT. The finding may not be apparent on ultrasound.

I hope this helps. ...Read more

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What symptoms does someone with bowel perforation always have?

What symptoms does someone with bowel perforation always have?

Bowel perforation: Usually associated with severe abdominal pain, the patient is usually not able to move much, and laying still helps decrease the pain. Fever and increase in WBC count is also a finding as well as free air on xrays. ...Read more

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What are the symptoms of a colonoscopy micro-perforation? How is it diagnosed, and does it require intervention?

What are the symptoms of a colonoscopy micro-perforation? How is it diagnosed, and does it require intervention?

Microperforation: Though uncommon, this is not a rare problem associated with a very common and important procedure. Pain within a few hours, sometimes with fever, is an indication. Free abdominal air on a plain film is adequate to make the diagnosis. Usually, bowel rest and antibiotics will suffice, but occasionally surgical intervention will be necessary. Good luck. ...Read more

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What are symptoms of rectal perforation? I've been bloated and have the urge to burp(let out gas) but I feel like I can't(although I manage sometimes).

What are symptoms of rectal perforation? I've been bloated and have the urge to burp(let out gas) but I feel like I can't(although I manage sometimes).

Not perforation: Bloating is due to too much gas in stomach possibly related to diet or swallowing of large amts of air. Rectal perforation infers there is trauma to the rectum causing damage to the wall with free drainage into the pelvis. Otherwise, trauma from manipulation with a colonoscope can cause peroration into the bladder in a male or vagina of a female or other loops of bowel. Surgery needed for repair. ...Read more

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A year ago I felt bowel perforation symptoms for 2 days after using anal toys. My irksome bowels beg the question: did i really hurt my colon or anus?

A year ago I felt bowel perforation symptoms for 2 days after using anal toys. My irksome bowels beg the question: did i really hurt my colon or anus?

??Perforation??: If you had bowel perforation that went untreated you would not survive! If you scratched/scraped/cut some inner surfaces in your rectal area it obviously healed to some degree but may have left some scarred tissue. If you cut the muscles within the anus, it could cause a stricture or a difficult to close outlet. A simple rectal exam by your doc could provide better info & help you improve. ...Read more

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Can perforations or fistulas occur in the upper/lower GI without any symptoms or signs, after swallowing fish bone? Worried I'll drop dead w/o warning

Can perforations or fistulas occur in the upper/lower GI without any symptoms or signs, after swallowing fish bone? Worried I'll drop dead w/o warning

No: Dropping dead without warning is quite rare in modern life, with or without a fishbone. Our gut has a remarkable ability to handle small sharp objects, coating them and pooping them out. The things that cause perforations are objects like button batteries (electrochemical damage to our gut) and magnets (sticking together to cause pressure damage). The damage leads to pain and other symptoms. ...Read more

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Would there be more symptoms involved than just a burning pain in the chest area if I had an esophageal rupture or perforation?

Would there be more symptoms involved than just a burning pain in the chest area if I had an esophageal rupture or perforation?

Yes: Excruciating pain and death in 24-36 hrs
Here's a reference: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&cad=rja&uact=8&sqi=2&ved=0ahUKEwimu9XzwdLJAhXCrB4KHYGDBSAQFgg8MAQ&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2431304%2F&usg=AFQjCNEMOYDC-mC1BFZ5PT8XYDFAxrRj6Q&sig2=cJDWfeFm3LJOvAIFmGM6uQ&bvm=bv.109395566,d.dmo ...Read more

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How could someone know if they had Peritonitis? Are there always symptoms? Or should I go to the doctors to check? I experienced bleeding while in bathroom. Anal Fissure or Colon Perforation? Thanks.

How could someone know if they had Peritonitis? Are there always symptoms? Or should I go to the doctors to check? I experienced bleeding while in bathroom. Anal Fissure or Colon Perforation? Thanks.

Peritonitis Symtoms: Peritonitis will cause excruciating pain and usually associated with infection in the abdomen. Bleeding can be from hemorrhoids. Anal fissures tend to cause a lot of anal pain. Doubtful that you have colonic perforation. When you see a doctor, they should find a cause for blood per rectum by simple examination and perhaps colonoscopy. ...Read more

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Please help me differentiate between hearing damage / tympanic membrane perforation symptoms. A gun was fired near my ear today. Certain hearing loss.

Please help me differentiate between hearing damage / tympanic membrane perforation symptoms. A gun was fired near my ear today. Certain hearing loss.

NIHL.: Most likely noise induced hearing loss. This sometimes happens when sound pressure exceeds the 120dB range — OSHA allows up to 140 dB single exposure. Sometimes this will get better over a few hours / day. Cannot rule out a rupture of the tympanic membrane. You need a good exam and visit with an expert to see if there are any options or need for repair. Maybe Magnesium? ...Read more

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8m using IUD. Started feeling dull ache/piercing on pelvic area & lower back pain. Discharge tinged w/blood & symptoms of panic attack. Perforation?

8m using IUD. Started feeling dull ache/piercing on pelvic area & lower back pain. Discharge tinged w/blood & symptoms of panic attack. Perforation?

No...: Presence of IUD can increase the likelihood of bacterial vaginosis (vaginal infection caused by overgrowth of bacteria normally present in vaginal vault). This can cause abnormal vaginal discharge. It is unusual for it to cause pelvic pain and bloody discharge however. Recommend visit with your Gynecologist for an exam. ...Read more

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I had an GastroEndoscopy 3 days ago. Developed sore throat and flu symptoms 8h after, how long after endoscopy can you develop esophagus perforation?

I had an GastroEndoscopy 3 days ago.  Developed sore throat and flu symptoms 8h after, how long after endoscopy can you develop esophagus perforation?

Almost immediately: An esophageal perf. With endoscopy is a serious and almost immediate condition. Severe pain, tachycardia, fever — this is a bad event. A bit of sore throat is not uncommon after EGD, but if you have real concerns you should put a call in to your GI team now. Good luck ...Read more

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What are the symptoms of uterine prolapse?

What are the symptoms of uterine prolapse?

Pressure: Feeling like something. Is falling out. Aching in pelvis and low back especially after standing for a while. ...Read more

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What are the symptoms of a perforated eardrum?

Drainage: Acute perforation of the tympanic membrane from infection will always be accompanied by drainage. If the perforation has been present for a long time there may be hearing loss but a small perforation may have little in the way of symptoms. ...Read more

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What are the symptoms of having an IUD in your uterine wall?

If u are worried: See your gyn so u can get a pelvic ultrasound and if necessary u may need a hysteroscopy, if it is embedded in the uterine wall u may have pain and abnormal bleeding or minimal symptoms, if it has perforated the uterine wall (hopefully not) then that is more serious so regardless u need to see your gyn so u know if everything is ok. ...Read more

Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more