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Case Report
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| Maternal death as a complication of uterine perforation with associated bowel prolapse per vaginum following attempted termination of pregnancy at a peripheral hospital: A case report | ||||||
| Labaran D Aliyu1, Makama B Salihu2 | ||||||
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1Department of Obstetrics & Gynaecolgy, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
2Department of Surgey Department, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria. | ||||||
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| How to cite this article: |
| Aliyu LD, Salihu MB. Maternal death as a complication of uterine perforation with associated bowel prolapse per vaginum following attempted termination of pregnancy at a peripheral hospital: A case report. International Journal of Case Reports and Images 2014;5(2):104–107. |
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Abstract
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Introduction:
Induced abortion is a procedure carried out to terminate a pregnancy for varied indications. It can, however, be complicated by severe complications including bowel injury and in some cases death. Complications are common when the procedure is carried out by the untrained or poorly trained personnel.
Case Report: This is a case of uterine perforation associated with bowel prolapsed through the vagina following an attempted termination of a missed abortion at eighth week and six days in a 25-year-old G3P2+0 (with 2 living children). The procedure was carried out by paramedics at a local General Hospital. Misoprostol was first used to induce abortion. When it failed, oxytocin infusion was used and when it also failed, dilatation and curettage was attempted which resulted in the complications mentioned and the patient subsequently died on the fourth postoperative day of an exploratory laparotomy. This case showed how poorly or untrained personnel are still using all means available to terminate pregnancies even in our hospitals resulting in serious complications. Conclusion: Complications of induced abortions in our environment are still common as untrained or poorly trained personnel engage in such procedures with grave consequences. To reduce these complications there is a need for proper training and provision of proper equipment and ensuring proper supervision of medical facilities. | |
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Keywords:
Uterine perforation, Induced abortion, Bowel injury, Maternal death
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Author Contributions
Labaran D Aliyu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Makama B Salihu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Labaran D Aliyu et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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