Miss E.N. a 19-year old nullipara presented at the Accidents and Emergency unit of the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki on the 17/5/06 with symptoms and signs of peritonitis from possible uterine and bowel perforation secondary to induced unsafe abortion. At surgery, it was discovered that her problem was due to mechanical small bowel obstruction from adhesion band following appendicectomy two years previously. The case highlights the similarities of its presentation to some of the complications of induced unsafe abortion.