Small bowel exteriorisation after uterine perforation from manual vacuum aspiration for abortion in a young cameroonian: a case report

Abstract

Manual vacuum aspiration is an effective and safer surgical method of uterine evacuation for an abortion. Nonetheless, it can present some life-threatening complications like uterine perforations. In a uterine perforation the suction cannula is thought to be usually involved in the perforation and the resulting intraabdominal organ damage. We presented a case of a young muilti-parous Cameroonian woman who was underwent a manual vacuum aspiration for a first trimester incomplete abortion, and which was complicated by a fundal uterine perforation with exteriorisation of small bowels through the vagina.

First Trimester Uterine Rupture: A Case Report and Literature Review

“…Among women with previous dilation and curettage, 4 (4/15, 26.67%) also had a CS in their past [14,19,47,73], 5 had a diagnosis of PAS disorder (5/15, 33.33%) [19,21,23,46,73], 1 had a TOP with drugs (1/15, 8.33%) [38], 1 had a previous uterine rupture in the past (1/15, 8.33%) [50], and in 2 cases no predisposing factors for uterine rupture were clearly identified (16.67%) [15,27].…”

An obscure cause of bowel obstruction: Jejunal herniation into uterine cavity

“…While small bowel herniation due to MVA associated uterine perforation has been described in the literature, usually these patients present in the acute setting [ 5 , 7 ]. The Onset of symptoms in our patient was 63 days post MVA.…”

“…Arabkhazaeli et al, found a 2.4 % incidence of SBO post hysterectomy [ 13 ]. Uterine perforations present as an emergency requiring urgent treatment and may be associated with life-threatening complications like intra-abdominal haemorrhage, hollow viscus perforations including the gastro-intestinal tract (GIT) and bladder [ [3] , [4] , [5] , 7 , 8 ].…”

Uterine Perforations Post-Manual Vacuum Aspiration: A Time for Re-Training

“…Manual vacuum aspiration (MVA) is a safe and effective treatment modality for early miscarriages. Despite its documented safety, life threatening conditions have been reported including uterine perforation (Bechem et al, 2016). Uterine Perforation is an obstetric catastrophe that poses a considerable challenge to the obstetrician when associated with other sequelae such as intestinal herniation, severe bleeding, visceral injuries or pyometra (Bechem et al, 2016).…”