PMID: 6103838Mar 1, 1980Paper

Bowel injury in septic abortion: the need for more aggressive management

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
U Megafu

Abstract

An analysis of bowel injury in cases of septic abortion treated over a six-year period at the University of Nigeria Teaching Hospital at Enugu is presented. Seventy-three percent (11/15) of the patients who underwent laparotomy had concomitant injury to the bowels. Overall, 16.4% of the 67 patients with septic abortion had intestinal injuries (this does not include the patients who died as a result of fulminating peritonitis before surgery could be performed). The survival of those patients with intestinal injuries was very much dependent on the operative procedures adopted. When a dysfunctioning colostomy was raised, the mortality was nil. In patients who had simple closure of the perforation and in those who had primary resection and anastomosis, mortality was 66.6%. The importance of performing laparotomy much sooner than usual is discussed.

References

Jun 1, 1972·The Journal of Obstetrics and Gynaecology of the British Commonwealth·A C Fraser
Aug 1, 1957·Annals of Surgery·R G PONTIUSM E DEBAKEY

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Citations

Feb 13, 2013·Archives of Gynecology and Obstetrics·Goran AugustinTomislav Luetić
Oct 31, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R S JhobtaA Jhobta
Feb 1, 1991·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·U Megafu, B C Ozumba
May 1, 1989·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·O O Adetoro
Jun 16, 2021·Abdominal Radiology·Hassan AboughaliaMariam Moshiri

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