Post-Hysteroscopy Perforation — FRCA Final MCQ

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ModerateDay SurgeryPost-Hysteroscopy PerforationFRCA Final

Severe pain requiring morphine 10 mg IV after diagnostic hysteroscopy. Most likely cause?

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Correct answer: A — Uterine perforation

Unusually severe pain after diagnostic hysteroscopy: suspect uterine perforation (can occur during cervical dilatation/instrument insertion). Inform gynaecologist immediately. Assess peritoneal signs. Consider USS/diagnostic laparoscopy.

Reference: RCOG – 2023 – Outpatient hysteroscopy