Protrusion of bowel through Introitus: A complication of uterine evacuation following abortion

Dr. Anjali Gupta, Singal S, Bishnoi P, Deuri J

Dr. Anjali Gupta, Singal S, Bishnoi P, Deuri J

Keywords: bowel injury, protrusion of bowel, unsafe abortion, uterine evacuation

Abstract

Background: Unsafe abortion is an important factor that contributes to maternal morbidity and mortality in the developing world. Uterine perforation and bowel injuries are the major complications after unsafe abortion. The reason for these complications is that most of the abortions are done by untrained personnel.
Case: We are presenting a case report of bowel protrusion and its trauma following uterine injury, which is rare nowadays.
Conclusion: To meet the unmet needs, legalisation of abortion is not sufficient, removing needless barriers to abortion is important. Availability of safer abortion facilities in rural areas, easy accessibility to these services, and training of health care providers will significantly reduce maternal morbidity and mortality.

References

1. Starrs A. The safe motherhood action agenda: priorities for the next decade. Fam care Internat. 1998;5:6.
2. Roy M, Gosh BN, Lahiri BC. A follow-up study of the medical complication and emotional after-effects of MTP acceptors in the community. Indian J Public health. 1977;21:83-8.
3. Gupta S, Chauhan H, Goel G, Mishra S. An unusual complication of unsafe abortion. J Fam Community Med. 2011;18:165-7.
4. Grimes DK. Second trimester abortions in the US. Fam Plann Perspect. 1984;16:260-6.
5. Singh K, Gupta S, Gupta D, Pargal P. Uterine perforation with bowel infarction in a case of unsafe abortion. JK Science. 2009;11:206-7.
6. Coffman S. Bowel injury as a complication of induced abortion: a case report and literature review. Am J Surg. 2001;67:924-6.