Faeces per Vaginum: A Combined Gut and Uterine Complication of Unsafe Abortion
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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.
KeywordsUterine Cavity Bowel Injury Fistulous Tract Unsafe Abortion Uterine Perforation
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