Rupture of Unscarred Uterus With Intestinal Prolapse From Vagina Following Criminal Abortion

Singla, Rimpi; Gaba, Nayana; Naik, Amruta; Singh, Anju

doi:10.7759/cureus.10601

Cited by 2 publications

(1 citation statement)

References 9 publications

(9 reference statements)

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“…Even today after easy legalisation of abortion several incidences of gut prolapse are seen in India. [15][16][17] Providing safe abortion is a big challenge in a situation where almost 70-80% of abortion providers are in private sector with an overwhelming number of them unregistered and untrained. Still, it is our duty to find out where the lacunae are so that a woman could have access to safe and hygienic abortion facilities if she desires to terminate her pregnancy.…”

Section: Discussionmentioning

confidence: 99%

A case study of bowel prolapses after induced abortion

Agrawal,

Malik,

Dabas

2023

Int J Reprod Contracept Obstet Gynecol

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Induced abortion, the intentional termination of pregnancy, is among the most common of gynaecological procedures. Depending on country-specific abortion laws, where abortion laws are highly restrictive, abortion is unsafe leading to maternal morbidity and mortality. This is a case study of unsafe abortion. In this case a 25-year-old G3P2L2 with previous 2 normal vaginal delivery had uterine perforation with bowel prolapse through the vagina following an dilatation and curettage of a missed abortion of 7 week and 6 days in a private hospital. Following the procedure patient had severe abdominal pain and bleeding from vagina, magnetic resonance imaging (MRI) was done. Patient came to our hospital with MRI. Patient was taken for exploratory laparotomy with uterine repair, bowel resection and anastomosis. Even though MTP Amendment act 2021 in India is liberal and government provides free contraception and abortion services by trained personnel, due to ignorance and misinformation, female often undergoes unsafe abortion. Unsafe abortion causes mild discomfort to grave injury like bowel prolapse leading to maternal death. Best preventive measure is awareness and easy accessibility.

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Section: Discussionmentioning

confidence: 99%

A case study of bowel prolapses after induced abortion

Agrawal,

Malik,

Dabas

2023

Int J Reprod Contracept Obstet Gynecol

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Ileal Evisceration Per Vaginum: A Serious Complication of Clandestine Abortions

Mamadouba,

Adama,

Mamadou

et al. 2024

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Per vaginum evisceration through uterine perforation is a rare but potentially serious complication of clandestine abortion. early diagnosis and aggressive volume resuscitation enable major surgical management and reduce patient mortality. Serious complications include haemorrhage, infection and damage to surrounding organs (intestinal, urological). This is the report of two observations of evisceration per vaginum during a clandestine abortion by endo-uterine maneuver. The first patient, aged 20, nulliparous, presented to the emergency department with externalization of the bowel and ileal loop necrosis 3 hours after the abortion. In the majority of cases, surgical management is by laparotomy, but a laparoscopic procedure can be performed if the externalized viscera is the omentum. The post-operative course is straightforward, but the obstetrical prognosis remains guarded due to the sequelae of induced abortion. Despite efforts to raise young girls' awareness of the harmful effects of clandestine abortions and legislation against such practices, young girls are still being encouraged to undergo abortions with serious complications. Conclusion: we describe two cases of post-abortive intestinal evisceration, despite efforts to raise young women's awareness of the harmful effects of illegal abortions. Vaginal evisceration is a surgical emergency and treatment is mandatory without a diagnostic assessment. Efforts must be made to reduce the number of unsafe abortions.

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Rupture of Unscarred Uterus With Intestinal Prolapse From Vagina Following Criminal Abortion

Cited by 2 publications

References 9 publications

A case study of bowel prolapses after induced abortion

A case study of bowel prolapses after induced abortion

Ileal Evisceration Per Vaginum: A Serious Complication of Clandestine Abortions

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