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Case Reports
. 2011 Sep;18(3):165-7.
doi: 10.4103/2230-8229.90021.

An unusual complication of unsafe abortion

Sunita Gupta  1 , Himanshu Chauhan, Garima Goel, Shashank Mishra
Affiliations
Case Reports

An unusual complication of unsafe abortion

Sunita Gupta et al. J Family Community Med. 2011 Sep.

Abstract

Unsafe abortion is a significant medical and social problem worldwide. In developing countries, most of the unsafe abortions are performed by untrained personnel leading to high mortality and morbidity

Case report: A 30 year-old female, gravida 7, para 6 underwent uterine evacuation for heavy bleeding per vaginum following intake of abortifacient to abort a 14 weeks gestation. The procedure was performed at a rural setup and her bowel was pulled out of the introitus through the perforated wound, an unusual complication of unsafe abortion. Illiteracy, unawareness about health services, and easy accessibility to untrained abortion providers lead to very high mortality and morbidity in India. There is unmet need to bring awareness among the people about the safe and effective methods of contraception and abortion services to avoid such complications.

Keywords: Unsafe abortion; uterine evacuation; uterine perforation.

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Conflict of interest statement

Conflict of Interest: Nil.

Figures

Figure 1
Figure 1
Congested and edematous intestinal loops pulled out of vaginal introitus
Figure 2
Figure 2
Laparotomy showing perforation in uterine fundus
Figure 3
Figure 3
Specimen showing resected gangrenous intestinal segment
See this image and copyright information in PMC

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