Intrauterine incarcerated bowel following uterine perforation during an abortion: A case report

Dunner, Peter S.; Thomas, Martin A.; Ferreras, Margaret; Jerome, Marc A.

doi:10.1016/0002-9378(83)90256-9

Cited by 19 publications

(11 citation statements)

References 1 publication

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“…[7][8][9] In this case there was no bowel prolapse in to the uterus instead the small bowel got entrapped in adhesions at the site of fundal uterine perforation.…”

Section: Discussionmentioning

confidence: 71%

“…Non-physicians are more likely to be involved in unsafe abortions than trained physicians, as they are more likely to use unsterile instruments and also perform abortions in an unhygienically unsafe environment because they are untrained for this purpose. 5,7 Recent studies have linked physicians with abortion complications. 10,11 The patient had a late presentation in this case, as the interval from uterine perforation to laparotomy was four months.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown interval from instrumentation to presentation to range from five days to 17 days. 7,12 The duration of hospitalization was 14 days. Oludiran and Okonofua found the duration of hospitalization at first admission to range between seven to 163 days.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies have shown that ileal involvement is more common as in the index card. [7][8][9]12 A definitive diagnosis was only made at laparotomy. Laparotomy has an enviable place in bowel injuries secondary to uterine perforation.…”

mentioning

confidence: 99%

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Small bowel obstruction following perforation of the uterus at induced abortion

Nkor

Igberase²,

Osime³

et al. 2010

West African Journal of Medicine

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BACKGROUND: Unsafe abortion is an important contributor to maternal morbidity and mortality. OBJECTIVE: To present a case of small bowel obstruction following perforation of the uterus at induced abortion. METHODS: A 36-year-old woman, presented at a private hospital, with abdominal pain and weight loss. She had full clinical assessment and laboratory investigations which indicated small bowel obstruction following perforation of the uterus at induced abortion, and was commenced on treatment. RESULTS: She was para 5+0. Her main complaints were abdominal and weight loss following induced abortion of a 12-week pregnancy, four months prior to presentation. At presentation the tools (ultrasound scan, plain abdominal radiograph and barium enema) used for diagnoses only suggested some form of intestinal obstruction and were unremarkable. Correct diagnoses indicating small bowel obstruction was only made at laparotomy. An exploratory laparotomy, adhesiolysis, small bowel resection, end to end anastomosis and bowel decompression was done after bowel preparation. CONCLUSION: Laparotomy has an enviable place in bowel injuries secondary to uterine perforation especially when there is a diagnostic dilemma.

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“…[7][8][9] In this case there was no bowel prolapse in to the uterus instead the small bowel got entrapped in adhesions at the site of fundal uterine perforation.…”

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Small bowel obstruction following perforation of the uterus at induced abortion

Nkor

Igberase²,

Osime³

et al. 2010

West African Journal of Medicine

View full text Add to dashboard Cite

show abstract

“…In spite of an extensive search in the medical literature, only a small number of reports about iatrogenic uterus perforation associated with internal herniation of small intestine could be found [6][7][8][9]. D&C is a common and almost daily procedure in certain gynecologic practice.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic uterine perforation resulting in Richter's hernia: a rare complication of dilatation and curettage

Lin

Lee

2010

Gynecol Surg

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Sonographic identification of an unusual complication of midtrimester pregnancy termination: Unrecognized intra‐abdominal extrusion of fetal parts

Bowerman

Pennes

Jongeward

1988

J of Clinical Ultrasound

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The incidence of uterine perforation during midtrimester dilatation and evacuation is 0.2% to 0.4%.1-3 We describe an unusual secondary complication of uterine perforation, that of unrecognized extrusion of fetal parts with "migration" to an extrapelvic portion of the maternal peritoneal cavity. The key role of ultrasound in detecting this clinically unsuspected complication is discussed. CASE REPORTA 25-year-old woman (G3P2) underwent an uneventful elective pregnancy termination of a 16-week gestation by dilatation and evacuation (D&E) under general anesthesia. Two days later she was admitted with left lower quadrant pain, fever, and a hematocrit of 29.1. A curette was passed to 13 cm, eliciting back pain but yielding no tissue. Laparoscoy revealed considerable intra-abdominal blood, and immediate laparotomy confirmed a 10-cm posterior uterine tear. Following uterine repair, the remainder of the pelvis and accessible abdominal contents were thoroughly inspected and considered normal.Despite antibiotic coverage, a postoperative fever persisted on postoperative day 6, and the left lower quadrant pain was increasing. Pelvic examination was unrevealing and pelvic sonography was requested. While no pelvic abnormal-

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Intrauterine incarcerated bowel following uterine perforation during an abortion: A case report

Cited by 19 publications

References 1 publication

Small bowel obstruction following perforation of the uterus at induced abortion

Small bowel obstruction following perforation of the uterus at induced abortion

Iatrogenic uterine perforation resulting in Richter's hernia: a rare complication of dilatation and curettage

Sonographic identification of an unusual complication of midtrimester pregnancy termination: Unrecognized intra‐abdominal extrusion of fetal parts

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