Poster - #VH-38097 - Keywords: Septate Uterus, D&C, Uterine Hematoma

Post Suction Dilation and Curettage Uterine Hematoma in a Patient with a Partial Septate Uterus: A Rare Complication​

Joy Ferro[1] DO, Karla Madrid[1],[2] MD FAAFP, Ludjelie Manigat[1] MD, Philip Sutherland[1] MD FAAFP​
[1] Clinica Medicos Family Medicine Surgical Obstetrics Fellowship, [2] Self Regional Healthcare Medical University of South Carolina​

ABSTRACT:
This case describes a young woman with a previously undiagnosed septate uterus, a first trimester pregnancy loss, and a subsequent complication of a D&C. The subsequent diagnosis of myometrial hematoma led to the diagnosis of the septate uterus. ​

In cases where early ultrasound findings suggest a possible congenital uterine anomaly but remain inconclusive, additional imaging studies may be warranted. This is particularly important in the context of surgical planning, as undiagnosed or misclassified anomalies can increase the risk of procedural complications.​

For patients undergoing D&C, especially those with suspected congenital anomalies, an ultrasound-guided approach should also be considered. Real-time imaging during the procedure can improve visualization of the intrauterine cavity, reduce the risk of incomplete evacuation, and minimize complications such as excessive bleeding or uterine injury. In this case, the presence of an undiagnosed septate uterus may have contributed to the development of a significant myometrial hematoma. Integrating advanced imaging techniques into the diagnostic and surgical workflow may help prevent similar complications in the future.​