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Case Reports
. 2016 May 27:24:98.
doi: 10.11604/pamj.2016.24.98.9307. eCollection 2016.

[Acute generalized peritonitis due to uterine perforation following abortion: case study observation]

[Article in French]
Ibrahima Ka  1 , Papa Saloum Diop  1 , Amadou Bocar Niang  1 , Alioucoly Faye  1 , Jean Marck Ndoye  1 , Babacar Fall  1
Affiliations
Case Reports

[Acute generalized peritonitis due to uterine perforation following abortion: case study observation]

[Article in French]
Ibrahima Ka et al. Pan Afr Med J. .

Abstract
in English, French

Clandestine abortion is known to be a major contributor to maternal mortality. We report a case of a 25-year old patient in her 12th week of amenorrhea with peritonitis due to uterine perforation following abortion, admitted with abdomen and pelvis pain, vomiting and diarrhea. Clinical examination on admission showed asthenic peritonitis. Surgical exploration showed widespread acute peritonitis secondary to a perforation of the uterine dome, with collection of 1500 cc of purulent material, dilated bowel loops and multiple false membranes.

Surgery: pus aspiration, peritoneal lavage; uterine suture, drainage. The postoperative course was uneventful, the patient was discharged after 15 days.

L'avortement provoqué clandestinement est responsable d'une importante mortalité maternelle. Nous rapportons un cas de péritonite par perforation utérine post-abortive. Il s'agissait d'une patiente de 25 ans reçue pour des douleurs abdomino- pelviennes, vomissements et diarrhée, dans un contexte d'aménorrhée de 12 semaines. L'examen à l'admission retrouvait un tableau de péritonite asthénique. L'exploration chirurgicale notait une péritonite aigue généralisée secondaire à une perforation du dôme utérin, avec collection purulente de 1500 cc; anses grêles dilatées et multiples fausses membranes. Le geste chirurgical: aspiration du pus, toilette péritonéale; suture utérine, drainage.les suites opératoires étaient simples, le retour à domicile de la patiente a été autorisé à J 15.

Keywords: Clandestine abortion; peritonitis; uterine perforation.

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Figures

Figure 1
Figure 1
TDM abdomino-pelvienne: (1) collection purulente; (2) pneumopéritoine massif
Figure 2
Figure 2
Vue opératoire, perforation du dôme utérine (flèche)
See this image and copyright information in PMC

References

    1. Faiindes A, Hardy E. Illegal abortion: consequences for women's health and the health care system. International Journal of Gynecology & Obstetrics. 1997;58(1):77–83. - PubMed
    1. Mayi-Tsonga S, Diallo T, Litochenko O, et al. Prévalence des avortements clandestins au centre hospitalier de Libreville, Gabon. Bull SocPatholExot. 2009;102(4):230–23. - PubMed
    1. Fenomanana MS, Rakotoarivony ST, Riel AM, Rekoronirina E, Andrianjatovo JJ, Andrianampanalinarivo H. Profilépidémio-clinique et thérapeutique des pelvipéritonitespostabortives à la maternité du CHU. d'Antananarivo Madagascar. Revue d'anesthésie-réanimation et de médecine d'urgence. 2009 Mai-Jun;1(2):17–20.
    1. RavolamananaRalisata L, Rabenjamina FR, Razafintsalama DL, Rakotonandrianina E, Randrianjafisamindrakotroka NS. Les peritonites et pelvi-péritonites post-abortum au CHU d'Androva Mahajanga: à propos de 28 cas. J GynecolObstetBiolReprod. 2001;30(3):282–287. - PubMed
    1. Cisse CT, Faye EO, Cisse ML, Kouedou D, Diadhiou F. Perforation utérine après avortement clandestin. Med Trop. 1999;59(4):371–4. - PubMed

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