[Treatment of perforation of the large intestine due to illegal abortion]

Abstract

Because of perforation of the uterus, lesion of the recto-sigmoid and diffuse peritonitis after illegal abortion, hysterectomy and bilateral salpingo-oophorectomy was performed; the colonic defect was not closed primarily but walled off from the peritoneal cavity; a transverse colostomy was done for fecal deviation and the true pelvis drained vaginally. After the defect had healed smoothly the colostomy was closed.

PIP: Surgical repair of lesions of the large intestine following illegal abortion in a 28-year-old woman is described. Hysterectomy was performed for uterine perforation, and the colonic perforation was walled off from the peritoneal cavity. Transverse colostomy was done for vecal deviation and the pelvis was drained vaginally. After the intestinal injury had healed, the colostomy was closed. Surgical techniques are discussed in detail.