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Faeces per Vaginum: A Combined Gut and Uterine Complication of Unsafe Abortion

  • Rachna AgarwalEmail author
  • A. G. Radhika
  • Gita Radhakrishnan
  • Rashmi Malik
Case Report

Introduction

Unsafe abortions (defined by the World Health Organization as those performed by unskilled individuals, with hazardous equipment, or in unsanitary facilities) carry a high risk of maternal death and other complications. For unsafe procedures, the mortality rate has been estimated as up to 70,000 women per year worldwide [1, 2]. Even in countries where the procedure is legalized, often inadequate and inaccessible health system, religious, social and ethical implications predispose to unsafe abortions and late referrals of complications. Trauma to the bowel is one of the most dreaded complications of induced abortion. While these injuries are usually recognized during the procedure itself, there could be late presentation too. Rarely, the symptoms may take up to 2 months to occur as it happened to be in the present case.

We present here an unusual case of bowel injury following induced abortion presenting after 52 days.

Case Report

A 22-year-old para 3 female presented to...

Keywords

Uterine Cavity Bowel Injury Fistulous Tract Unsafe Abortion Uterine Perforation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    WHO Scientific Group on Medical Methods for Termination of Pregnancy. Medical methods for termination of pregnancy: report of a Who Scientific Group. Who Technical Report Series No. 871. Geneva: World Health Organization; 1997. p. 4–5.Google Scholar
  2. 2.
    Shah I, Ahman E. Unsafe abortion: global and regional incidence, trends, consequences, and challenges. J Obstet Gynaecol Can. 2009;31:1149–58.PubMedGoogle Scholar
  3. 3.
    ICMR. Estimates of maternal mortality ratios in India and its states- a pilot study. 2010. http://icmr.nic.in/final/Final%20Pilot%20Report.pdf. Accessed 30 Nov 2010.
  4. 4.
    Berer M. National law and unsafe abortion, the parameters of change. Reprod Health Matters. 2004;12:1–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Clements RV. Safe practice in obstetric and gynaecology. A medico-legal handbook. Edinburgh: Churchill Livingstone; 1994. p. 356.Google Scholar
  6. 6.
    Gupta S, Banerjee K, Bhardwaj DN, et al. Maternal death and induced abortion—a critical analysis. J Fam Welf. 2000;46:57–60.Google Scholar
  7. 7.
    Garg N, Bajwa SK, Kaur J, et al. Unsafe abortion: shearing of sigmoid and descending colon. J Obstet Gynecol Ind. 2004;54:83–4.Google Scholar
  8. 8.
    Sherigar JM, Dalal AD, Patel JR. Uterine perforation with subtotal bowel prolapse. A rare complication of dilatation and curettage. J Health Allied Sci (Online). 2005;4:6.Google Scholar
  9. 9.
    Rehman A, Fatima S, Gangat S, et al. Bowel injuries secondary to induced abortion: a dilemma. Pak J Surg. 2007;23:122–5.Google Scholar
  10. 10.
    Leibner EC. Delayed presentation of uterine perforation. Ann Emerg Med. 1995;26:643–6.PubMedCrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2012

Authors and Affiliations

  • Rachna Agarwal
    • 1
    • 2
    Email author
  • A. G. Radhika
    • 1
  • Gita Radhakrishnan
    • 1
  • Rashmi Malik
    • 1
  1. 1.Department of Obstetrics & GynaecologyUniversity College of Medical Sciences and Guru Teg Bahadur HospitalDelhiIndia
  2. 2.DelhiIndia

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