{
    "abstract": "Small bowel perforation is a unique, serious complication during endometrial biopsy. The authors report a case of a double uterine-ileal perforation totally managed by primary laparoscopic repair. A 63-year-old female was admitted with acute abdomen 2 days after an endometrial curettage. Abdominal X-ray shows signs of pneumoperitoneum. Emergency diagnostic laparoscopy was performed and a uterine-ileal perforation was identified. Repair was accomplished by a totally laparoscopic intracorporeally suturing of the 2 breaches. Postoperative course showed only a delayed ileus and the patient was discharged after 5 days with no complications. When acute abdomen arises following uterine biopsy, a potential iatrogenic intestinal laceration always has to be ruled out. Laparoscopic approach is a quick and safe technique in these cases. Totally laparoscopic primary closure of the iatrogenic ileal laceration may be accomplished with low morbidity.",
    "authors": [
        {
            "affiliation": "Department of Surgery, University of Catania, Policlinico-Vittorio Emanuele University Hospital, Catania, Italy.",
            "firstname": "Rosario",
            "initials": "R",
            "lastname": "Vecchio"
        },
        {
            "affiliation": null,
            "firstname": "Salvatore",
            "initials": "S",
            "lastname": "Marchese"
        },
        {
            "affiliation": null,
            "firstname": "Vito",
            "initials": "V",
            "lastname": "Leanza"
        },
        {
            "affiliation": null,
            "firstname": "Antonio",
            "initials": "A",
            "lastname": "Leanza"
        },
        {
            "affiliation": null,
            "firstname": "Eva",
            "initials": "E",
            "lastname": "Intagliata"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.9738/INTSURG-D-13-00267.1",
    "journal": "International surgery",
    "keywords": [
        "Endometrial curettage",
        "Primary laparoscopic repair",
        "Small bowel perforation",
        "Uterine puncture"
    ],
    "methods": null,
    "publication_date": "2015-02-19",
    "pubmed_id": "25692425\n21547929\n18852210\n23782915\n16381353\n22938178\n23759143\n21045358\n16376845\n7778431\n12457211\n23231471\n17468926\n19551441\n21777061\n11981684\n23574848\n10498306\n23833528\n9569364\n17024542",
    "results": null,
    "title": "Totally laparoscopic repair of an ileal and uterine iatrogenic perforation secondary to endometrial curettage.",
    "xml": "<Element 'PubmedArticle' at 0x788506c530b0>"
}