On the anterior wall of the uterus, some 7.0 cm. above the external os and near the midline, there
is a haemorrhagic area in the serosa measuring approximately 1.0 cm. across. The perforation
extends from the endocervical canal to this point and below this there is an apparent laceration of
the canal. There is placental tissue within the uterus.
Some 2 years before attempt at termination of pregnancy, the cervix had been cauterised
because of a persistent erosion with a vaginal discharge. Difficulty was experienced in introducing
a sound into the uterus at the time of termination and the uterus was perforated; hysterectomy was