Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report
Post-abortion complications are a significant cause of maternal morbidity and mortality when conducted by untrained persons in sub-standard settings, which are commonly seen in Low and Middle-Income Countries (LMICs). The presentation depends on the type and extent of the injury but at times may be...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17741/62214_CE[Ra1]_F(IS)_PF1(AKA_SS)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Imran Ahmed Khan Veena Shahi Najma Malik MD Abu Bashar Rajeev Shahi |
| author_facet | Imran Ahmed Khan Veena Shahi Najma Malik MD Abu Bashar Rajeev Shahi |
| author_sort | Imran Ahmed Khan |
| collection | DOAJ |
| description | Post-abortion complications are a significant cause of maternal morbidity and mortality when conducted by untrained persons in sub-standard settings, which are commonly seen in Low and Middle-Income Countries (LMICs). The presentation depends on the type and extent of the injury but at times may be misleading and delayed recognition resulting in fatal complications. Uterine perforation is one of the uncommon complications of unsafe abortion. The authors report a case of 26-year-old female patient, Gravida 2, para 1 admitted with a history of bleeding per vaginum for the past five days. A detailed Ultrasonography (USG) was done by an ultrasonologist who confirmed the presence of a small rent in the uterine wall and the intrauterine product as a continuation of the omentum. An emergency laparotomy was performed and intraoperative findings showed uterine perforation located at the scar line of the previous uterine incision, through which omentum has entered the uterine cavity and traversed through the cervical canal into the vagina. That part of the omentum which had come into the uterine cavity was removed after ligating all feeding vessels, and the rest of the omentum was placed back into the peritoneal cavity. The uterus was preserved and the patient was discharged in stable condition. Uterine perforation sometimes may present with minimal symptoms and a thorough history and physical examination is key in diagnosing it. Unsafe abortions in hands of quacks and unqualified practitioners leading to life-threatening complications still remain a major problem in developing countries like India and require the immediate attention of policymakers. |
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| format | Article |
| id | doaj.art-18a9a4cd82b04469b8aa19b841b0e017 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-09T17:27:51Z |
| publishDate | 2023-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-18a9a4cd82b04469b8aa19b841b0e0172023-04-18T09:33:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-04-01174QD03QD0510.7860/JCDR/2023/62214.17741Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case ReportImran Ahmed Khan0Veena Shahi1Najma Malik2MD Abu Bashar3Rajeev Shahi4Senior Resident, Department of Community Medicine, BRD Medical College, Gorakhpur, Uttar Pradesh, India.Consultant, Obstetrics and Gynecology, Neelkanth Hospital, Gorakhpur, Uttar Pradesh, India.Associate Professor, Department of Obstetrics and Gynecology, BRD, Medical College, Gorakhpur, Uttar Pradesh, India.Assistant Professor, Community Medicine and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.Consultant, Department of Surgery, Neelkanth Hospital, Gorakhpur, Uttar Pradesh, India.Post-abortion complications are a significant cause of maternal morbidity and mortality when conducted by untrained persons in sub-standard settings, which are commonly seen in Low and Middle-Income Countries (LMICs). The presentation depends on the type and extent of the injury but at times may be misleading and delayed recognition resulting in fatal complications. Uterine perforation is one of the uncommon complications of unsafe abortion. The authors report a case of 26-year-old female patient, Gravida 2, para 1 admitted with a history of bleeding per vaginum for the past five days. A detailed Ultrasonography (USG) was done by an ultrasonologist who confirmed the presence of a small rent in the uterine wall and the intrauterine product as a continuation of the omentum. An emergency laparotomy was performed and intraoperative findings showed uterine perforation located at the scar line of the previous uterine incision, through which omentum has entered the uterine cavity and traversed through the cervical canal into the vagina. That part of the omentum which had come into the uterine cavity was removed after ligating all feeding vessels, and the rest of the omentum was placed back into the peritoneal cavity. The uterus was preserved and the patient was discharged in stable condition. Uterine perforation sometimes may present with minimal symptoms and a thorough history and physical examination is key in diagnosing it. Unsafe abortions in hands of quacks and unqualified practitioners leading to life-threatening complications still remain a major problem in developing countries like India and require the immediate attention of policymakers.https://www.jcdr.net/articles/PDF/17741/62214_CE[Ra1]_F(IS)_PF1(AKA_SS)_PFA(AKA_KM)_PN(KM).pdfdilatation and curettagematernal morbiditymortalitypost-abortion complications |
| spellingShingle | Imran Ahmed Khan Veena Shahi Najma Malik MD Abu Bashar Rajeev Shahi Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report Journal of Clinical and Diagnostic Research dilatation and curettage maternal morbidity mortality post-abortion complications |
| title | Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report |
| title_full | Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report |
| title_fullStr | Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report |
| title_full_unstemmed | Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report |
| title_short | Omental Herniation through Uterine Perforation due to Unsafe Abortion: A Case Report |
| title_sort | omental herniation through uterine perforation due to unsafe abortion a case report |
| topic | dilatation and curettage maternal morbidity mortality post-abortion complications |
| url | https://www.jcdr.net/articles/PDF/17741/62214_CE[Ra1]_F(IS)_PF1(AKA_SS)_PFA(AKA_KM)_PN(KM).pdf |
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