Apr 13, 2010

Small bowel obstruction following perforation of the uterus at induced abortion

West African Journal of Medicine
S K NkorR Babalola

Abstract

Unsafe abortion is an important contributor to maternal morbidity and mortality. To present a case of small bowel obstruction following perforation of the uterus at induced abortion. 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. 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. Laparotomy has an enviable place in bowel injuries secondary to uterine perforation especially when there is a diagnostic dilemma. Nigerian female population requires continuous health education on widespread and eff...Continue Reading

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Mentioned in this Paper

Anatomical Anastomosis
Morbidity Aspects
Entire Uterus
Neoplasm of Uncertain or Unknown Behavior of Uterus
Uterus
Abdominal Pain
Plain X-ray
Small Intestinal Wall Tissue
Lower Gastrointestinal Tract Contrast Procedure
Uterine Perforation

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