“…To broke a balloon is not unusual during the procedure. Routine ultrasonography following a non-complicated vacuum aspiration or postpartum hemorrhage is not recommended [1,7,8], but the gynecologist should practice an ultrasonography or an hysteroscopy after an hemorrhage managed by balloon to evaluate intrauterine adhesion formation or eliminate a foreign body. Indeed, intrauterine adhesion is a rare complication following a vacuum aspiration and we have no idea of the impact of using a balloon on those adhesion [9,10]…”