{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T01:14:33Z","timestamp":1770513273199,"version":"3.49.0"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr H. Sci."],"abstract":"<jats:p>Background: The risk of uterine perforation during manual vacuum aspiration (MVA) is reduced by using Karman cannula (which has a rounded tip) during the procedure.\r\nMethods: A 35-year-old multigravida at 13 gestational weeks presented with vaginal bleeding of a day duration and ultrasound evidence of retained products of conception suggestive of incomplete miscarriage. The patient was rhesus D positive and stable. She had MVA which was performed using Karman cannula, and developed severe vaginal bleeding. The differential diagnoses were incomplete uterine evacuation and uterine perforation.\r\nResults: During a laparotomy in Lloyd-Davies position, haemoperitoneum and six uterine perforations on the anterior and fundal parts, each approximately 5 mm in length (Figure 1), were found. The perforations were repaired and a check uterine curettage under oxytocic cover showed an empty uterus. The abdominal cavity was washed and closed. She was transfused three units of red blood cell concentrate and had a normal six weeks follow-up.\r\nConclusion: When an instrument inserted into the uterus is pushed beyond the estimated depth of the uterus, a perforation must be suspected and the condition may be managed conservatively. A surgical procedure complicated by surgeon\u2019s loss of perception (in this case tactile) of tissues\u2019 anatomy is hazardous.\r\nKeywords: Image of uterine perforation; manual vacuum aspiration; uterine sounding.<\/jats:p>","DOI":"10.4314\/ahs.v22i1.23","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T11:02:36Z","timestamp":1652094156000},"page":"180-2","source":"Crossref","is-referenced-by-count":1,"title":["Multiple uterine perforations during manual vacuum aspiration: the need to increase the clinical awareness of attending healthcare professionals"],"prefix":"10.4314","volume":"22","author":[{"given":"Nnabuike","family":"C Ngene","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2022,4,29]]},"container-title":["African Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/224596\/211889","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/224596\/211889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T11:04:02Z","timestamp":1652094242000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/view\/224596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,29]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,5,3]]}},"URL":"https:\/\/doi.org\/10.4314\/ahs.v22i1.23","relation":{},"ISSN":["1680-6905"],"issn-type":[{"value":"1680-6905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,29]]}}}