TITLE:
Evisceration of the Small Bowel in the Vagina Following Endo-Uterine Maneuvers for Clandestine Abortion (APC) at CHU Gabriel Touré, Bamako, Mali
AUTHORS:
Dabo Aminata, Diop Thierno Madane, Dembélé Bakary Tientigui, Coulibaly Mahamadoun, Doumbia Arouna, Manganémoustapha Issa, Abdoul Hamidou Almeimoune, Traoré Alhassane, Togo Adégné, Téguété Ibrahima, Django Djibo Mahamane, Diallo Gangaly
KEYWORDS:
Evisceration, Abortion, Surgery, Mali
JOURNAL NAME:
Surgical Science,
Vol.9 No.4,
April
28,
2018
ABSTRACT: Intra-uterine manual aspiration is the recommended maneuver for abortive endo-uterine evacuation. It must be performed in a medical setting for therapeutic purposes, while respecting its contraindications and asepsis rules essential for its implementation. The ignorance of anatomical structures by the authors of clandestine abortions is marked by the presence of utero-adnexal lesions, digestive lesions and vesical lesions or evisceration by the vagina. Vaginal evisceration of the small bowel is a rare and serious complication of manual intrauterine aspirations and induced abortions. Their late diagnosis and clandestine practice are responsible for unpredictable severe secondary complications and remain an important cause of morbidity and mortality. The development of a policy of continuous training of agents on the technique of manual intrauterine aspiration, broad information on contraceptive methods and a multidisciplinary, rapid and adequate management of complications will provide minimum morbidity and mortality. Conclusion: Abortion is a serious source of life-threatening complications.