[Severe intra-abdominal trauma in criminal abortion]
- PMID: 2595938
[Severe intra-abdominal trauma in criminal abortion]
Abstract
PIP: Case history of a 20-year-old woman subjected to criminal abortion at 14 weeks of gestation is presented. The patient was admitted in a state of shock with manifestations of diffuse peritonitis. Preoperative diagnosis was of criminal septic abortion, uterine perforation, injury of the intestine, and diffuse peritonitis. Laparotomy indicated enlarged uterus, a 10x4 cm perforation of the posterior surface of the uterus opening into the Douglas space, absence of the rectosigmoid segment of the large intestine, absence of the cupula of the cecum, and absence of a 20-cm segment of the ileum. The patient underwent extirpation of the uterus, suturing of the vaginal stump, suturing of the rectum, sigmoidostomy, right hemicolectomy, and formation of the side-to-side ileotransversoanastomosis. Postoperatively, the patient received blood transfusions, and infusions of glucose and electrolyte solutions. Postoperative period was complicated by suppurative paraproctitis treated with antibiotics. The patient was discharged on day 37 postoperatively in a satisfactory condition.
Similar articles
-
[Treatment of perforation of the large intestine due to illegal abortion].Zentralbl Gynakol. 1975;97(12):734-7. Zentralbl Gynakol. 1975. PMID: 1189766 German.
-
Asymptomatic perforation of the small intestine by a copper-7 intrauterine device.N Y State J Med. 1985 Aug;85(8):515-6. N Y State J Med. 1985. PMID: 3863028
-
[Septic shock following a criminal intervention on the nonpregnant uterus].Akush Ginekol (Sofiia). 1988;27(4):77-9. Akush Ginekol (Sofiia). 1988. PMID: 3218683 Bulgarian.
-
[11 cases of traumatic uterine lesions].Chir Ital. 1980 Dec;32(6):1674-95. Chir Ital. 1980. PMID: 7018718 Review. Italian. No abstract available.
-
Complicated small bowel diverticulosis--a case report and literature review.Chirurgia (Bucur). 2007 Sep-Oct;102(5):603-6. Chirurgia (Bucur). 2007. PMID: 18018364 Review.