Prolapse of the Small Intestine from the Uterine Perforation at Dilatation and Curettage
Figure 1
Prolapsed small intestine and operative findings. (a) The small intestine is observed in the vagina. (b) The ileum is prolapsed through the uterine perforation and somewhat retracted. The uterine fundus is not seen, hidden behind the operators’ hands. Small arrows show the previous cesarean scar site, indicating that the perforation did not occur at the previous cesarean incision. The direction of the perforation is not distinguishable in this figure: it is illustrated in Figure 2. (c) The prolapsed intestine is necrotic. The tip of the forceps indicates the detached mesentery. (d) The resected specimen, showing that the mesentery (50 cm) was completely separated from the prolapsed ileum.
