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ArticleTitle	Uterine Perforation Following Manual Removal of the Placenta
AuthorList	Sayaka Okudaira, Toyohiko Kuwashima, Nobuya Mine, Tsutomu Takeuchi and Shunji Suzuki
Affiliation	Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital
Language	EN
Volume	70
Issue	5
Year	2003
Page	449-451
Received	February 13, 2003
Accepted	April 1, 2003
Keywords	Uterine perforation, Manual removal of the placenta, Placenta accreta
Abstract	We present here a case of uterine perforation following manual removal of the placenta during the third stage of normal labor. Total abdominal hysterectomy was performed, and the 4×3-cm perforation of the uterus and placenta accreta were confirmed. In this case, the round ligament covering the hematoma prevented bleeding into the peritoneal cavity and peritonitis. Manual removal of the placenta should be performed carefully following ultrasonographic assessment for placental abnormalities such as placenta accreta.
Correspondence to	Correspondence to Shunji Suzuki, Department of Obstetrics and Gynecology, Tokyo Rinkai Hospital, 1-4-2 Rinkai-cho, Edogawa-ku, Tokyo 134-0086, Japan czg83542@mopera.ac.jp