Intestinal prolapse and necrosis as a complication of an abortion

Abstract

Prolapse and intestinal necrosis by uterine perforation, is a rare complication, very serious and avoidable, which occurs, usually as a result of the practice of a traumatic obstetric procedure, most of the time, by an instrumental uterine curettage, of an unsafe abortion, also known, as clandestine; in inadequate conditions, with instruments that are not correct, rather unfriendly and performed by unskilled personnel. The aim of this work is to present a clinical obstetric-surgical gynaecological case of prolapse and intestinal necrosis as a complication of an abortion and to perform a brief updated review of the literature. Materials and methods: A retrospective descriptive study was performed, presenting a clinical case. Informed consent and authorization were requested for publication of the case by the teaching and research department of the Alfredo G Paulson hospital. Case report: This was a 19-year-old female patient who underwent an unsafe abortion, where as a serious complication, she had uterine perforation, which led to evisceration of the small intestine, causing ischemia and necrosis thereof, What generated an emerging situation of high mortality, fortunately the timely intervention of a multidisciplinary team, provided good results. conclusions: Prolapse and intestinal necrosis through the vagina, is a potentially serious complication, which should be avoided, implementing control and safety measures for the patient, consider the risk factors that threaten the development of this adversity, drawing up a complete clinical history, using imaging tests, choosing an optimal location and the necessary equipment for performing surgical procedures, observation and continuous monitoring of the patient, in addition to having highly trained medical personnel, to solve an emergency