Diagnosis Iatrogenic uterine perforation Discussion Uterine perforations during hysteroscopy and curettage procedures are common. In most instances they are of no clinical consequence. Whenever one is documented, the site of the perforation should be evaluated and the patient watched closely for signs of intraperitoneal bleeding, infection, bowel or bladder injury. Perforations along the anterior lower segment may affect the bladder. Lateral lacerations may affect the vascular supply and produce significant bleeding.
Most fundal perforations are inoquous.