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. 2017 Jun 1;33(3):81–91. doi: 10.1089/gyn.2016.0111

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© Ibrahim Alkatout 2017; Published by Mary Ann Liebert, Inc.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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FIG. 7. — A 32-year-old patient with continuous vaginal bleeding, para 1, with suspected placental remnants 5 weeks after delivery. (A and B) The soft anterior wall of the enlarged uterus was perforated during curettage for removal of placental remnants. The extent of perforation was identified during the simultaneous laparoscopy. Active bleeding, hematoma, and free fluid (rinsing fluid used for hysteroscopy). (C and D) The hole can be closed with a thick monofilament suture and intracorporeal knotting.