INCARCERATED SMALL BOWEL ASSOCIATED WITH ELECTIVE ABORTION UTERINE PERFORATION

Title

INCARCERATED SMALL BOWEL ASSOCIATED WITH ELECTIVE ABORTION UTERINE PERFORATION

Creator

Coughlin L M; Sparks D A; Chase D M; Smith J

Publisher

Journal of Emergency Medicine

Date

2013
2013-03

Description

Background: Uterine perforation is a rare but recognized complication of abortion. Perforations may not be recognized at the time of the procedure, and patients may present days or weeks later with sequelae of the complication. Objectives: To raise awareness of this rare complication that can present days to weeks after the precipitating event. Case Report: A 21-year-old woman presented 3 weeks after an elective abortion with symptoms of bowel obstruction. Exploratory laparotomy revealed small bowel herniation into a perforated uterus, causing the obstruction. In retrospect, a pre-operative ultrasound and computed tomography (CT) scan suggested this finding, but it went unrecognized at that time. A small bowel resection was performed and the patient made an uneventful recovery. Conclusion: Intrauterine bowel after abortion has been described only a handful of times in the literature. Uterine perforation during abortion is usually asymptomatic and generally can be managed conservatively, but herniation of bowel through the uterine defect can result in obstruction and strangulation. Intrauterine bowel requires prompt laparotomy and possible resection of non-viable bowel. Although ultrasound and CT scans may aid in diagnosis of this rare complication, a clinical suspicion for uterine perforation should be maintained by health care providers when treating patients who have had an abortion. (C) 2013 Elsevier Inc.

Subject

complications; injury; Emergency Medicine; management; small bowel obstruction; elective abortion; incarcerated bowel; surgical abortion; trimester; uterine perforation

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

E303-E306

Issue

3

Volume

44

Citation

Coughlin L M; Sparks D A; Chase D M; Smith J, “INCARCERATED SMALL BOWEL ASSOCIATED WITH ELECTIVE ABORTION UTERINE PERFORATION,” NEOMED Bibliography Database, accessed January 24, 2022, https://neomed.omeka.net/items/show/8979.

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