A Rare Occurrence of Uterine Perforation Following the Dilation and Curettage for Missed Abortion

Uterine perforation represents an uncommon yet potentially significant complication that may arise during the process of dilation and curettage (D&C), a frequently conducted procedure employed for a variety of gynaecological indications, including missed abortion. This report delineates an atypical case of uterine perforation in a 30-year-old female patient who underwent D&C subsequent to a missed abortion at 10 weeks of gestation and subsequently experienced acute abdominal discomfort accompanied by clinical features of internal haemorrhage shortly after the intervention. Diagnostic imaging corroborated the occurrence of uterine perforation, prompting the execution of emergency surgery to rectify the perforation and address concomitant complications. Following the surgical intervention, the patient achieved a complete recovery. This case report underscores the necessity for heightened vigilance during D&C procedures. The early identification and swift surgical management of this condition are imperative to avert severe morbidity or mortality associated with this infrequent complication. Furthermore, it accentuates the importance of pre-operative counselling and post-operative surveillance to ensure the timely identification and management of potential complications.