Péritonite aigue généralisée par perforation utérine post abortum à propos d’une observation

Abstract

L'avortement provoqué clandestinement est responsable d'une importante mortalité maternelle. Nous rapportons un cas de péritonite par perforation utérine post-abortive. Il s'agissait d'une patiente de 25 ans reçue pour des douleurs abdomino- pelviennes, vomissements et diarrhée, dans un contexte d'aménorrhée de 12 semaines. L'examen à l'admission retrouvait un tableau de péritonite asthénique. L'exploration chirurgicale notait une péritonite aigue généralisée secondaire à une perforation du dôme utérin, avec collection purulente de 1500 cc; anses grêles dilatées et multiples fausses membranes. Le geste chirurgical: aspiration du pus, toilette péritonéale; suture utérine, drainage.les suites opératoires étaient simples, le retour à domicile de la patiente a été autorisé à J 15.

Intestinal incarceration following aspiration evacuation: A case report

“…Uterine perforation can impact fertility through cervical stenosis or synechiae and increases the risk of ectopic pregnancies at the perforation site and uterine rupture [8]. Delivery mode should be carefully considered in subsequent pregnancies.…”

Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

“…The occurrence of complications secondary to an illegal abortion, noted for a quarter of a century in Congo Brazzaville [5], remains relevant today. These abortions are requested by adolescent girls or young women, on average 25 years old, in sexual activity, with an abortive past, who resort to unqualified personnel, thus reflecting the non-satisfaction of contraceptive needs [6][7][8][9][10][11][12][13][14][15]. This vulnerable and disadvantaged social layer is paying the heavy price for restrictive abortion laws.…”

“…If in some cases, patients self-medicate with illicit drugs [6] and traditional decoctions, however in other cases, they are subject to endo-uterine maneuvers by unqualified people., responsible for serious morbidity [6][7][8][9][10][11][12][13][14][15]. Complications of clandestine or unsafe abortions are multiple and of varying severity, dominated in the immediate and short term by hemorrhages, infections, and organ damage [6][7][8][9][10][11][12][13][14][15]. Complications in the form of uterine perforation are reported to be frequent in the first trimester [12,17,18] and are preferentially located on the postero-superior surface or in the fundic part of the uterus [12,19], due to its anteversion.…”