Exxcellence pearls: lateral uterine perforation at hysteroscopy

Question 0

What two life-threatening complications need to be considered?

What other complications should be evaluated for?

Answer 0

Retroperitoneal hematoma and air embolism.

Fluid overload, bowel or bladder injury.

Question 1

How is severe bleeding from lateral uterine artery perforation managed?

Answer 1

Laparoscopy, laparotomy, and possible emergent hysterectomy. Also consider uterine artery embolization.