UTERUS - Perforation

The specimen is an enlarged, thick-walled uterus, opened to display the endometrial canal, which is lined by a shaggy endometrium, markedly thickened in the fundal area. The size of the uterus, and the character of the lining indicate pregnancy. The arrow in the specimen extends through the perforation; the perforation occurred during a diagnostic curettage, presumably following a miscarriage.