{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T13:52:19Z","timestamp":1778939539043,"version":"3.51.4"},"reference-count":61,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T00:00:00Z","timestamp":1673827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the University of Medicine and Pharmacy of Craiova, Romania"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Objective: Omentum involvement resulting from uterine perforation is a rare complication following intrauterine procedures that might require immediate intervention due to severe ischemic consequences. This review examines the prevalence of this complication, risk factors, the mode and timing of diagnosis, the proper management and the outcome. Methods: A systematic literature search was conducted on PubMed, PubMed Central and Scopus using uterine perforation, D&amp;C, abortion and omentum as keywords. The exclusion criteria included the presence of the uterus or placenta\u2019s malignancy and uterine perforation following delivery or caused by an intrauterine device. Results: The review included 11 articles from 133 screened papers. We identified 12 cases that three evaluators further analysed. We also present the case of a 32-year-old woman diagnosed with uterine perforation and omentum involvement. The patient underwent a hysteroscopic procedure with resectioning the protruding omentum into the uterine cavity, followed by intrauterine device insertion. Conclusion: This paper highlights the importance of a comprehensive gynaecological evaluation following a D&amp;C procedure that includes a thorough clinical examination and a detailed ultrasound assessment. Healthcare providers should not overlook the diagnosis of omentum involvement in the presence of a history of intrauterine procedures.<\/jats:p>","DOI":"10.3390\/diagnostics13020331","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T02:10:32Z","timestamp":1673921432000},"page":"331","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Uterine Perforation as a Complication of the Intrauterine Procedures Causing Omentum Incarceration: A Review"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2358-7866","authenticated-orcid":false,"given":"George Lucian","family":"Zoril\u0103","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u0103zvan Grigora\u0219","family":"C\u0103pit\u0103nescu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6815-4581","authenticated-orcid":false,"given":"Roxana Cristina","family":"Dr\u0103gu\u0219in","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3631-9107","authenticated-orcid":false,"given":"Anca-Maria","family":"Istrate-Ofi\u021beru","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Histology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"},{"name":"Research Centre for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1084-2714","authenticated-orcid":false,"given":"Elena","family":"Bernad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square no 2, 300041 Timisoara, Romania"},{"name":"Clinic of Obstetrics and Gynaecology, \u201cPiusBrinzeu\u201d County Emergency Hospital, 300723 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u0103d\u0103lina","family":"Dobie","sequence":"additional","affiliation":[{"name":"Lugoj Municipal Council, Medical Assistance-Education Service Romania, 305500 Lugoj, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0617-5376","authenticated-orcid":false,"given":"Sandor","family":"Bernad","sequence":"additional","affiliation":[{"name":"Romanian Academy Timisoara Branch, Mihai Viteazul Avenue, 24, 300275 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius","family":"Craina","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Square no 2, 300041 Timisoara, Romania"},{"name":"Clinic of Obstetrics and Gynaecology, \u201cPiusBrinzeu\u201d County Emergency Hospital, 300723 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iuliana","family":"Ceau\u0219u","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, \u201cCarol Davila\u201d University of Medicine and Pharmacy, \u201cDr I. Cantacuzno\u201d Hospital, 020021 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius Cristian","family":"Marina\u015f","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"},{"name":"Department of Anatomy, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria-Cristina","family":"Com\u0103nescu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"},{"name":"Department of Anatomy, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian Valentin","family":"Zoril\u0103","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ileana","family":"Droca\u0219","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"},{"name":"Doctoral School, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena Iuliana Anamaria","family":"Berbecaru","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Doctoral School, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7823-3387","authenticated-orcid":false,"given":"Dominic Gabriel","family":"Iliescu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, University Emergency County Hospital of Craiova, 200642 Craiova, Romania"},{"name":"Department of Obstetrics and Gynaecology, Medgin, GINECHO Clinic, 200333 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e303","DOI":"10.1016\/j.jemermed.2012.02.071","article-title":"Incarcerated Small Bowel Associated with Elective Abortion Uterine Perforation","volume":"44","author":"Coughlin","year":"2013","journal-title":"J. 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