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Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

Received: 13 January 2021     Accepted: 27 January 2021     Published: 30 January 2021
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Abstract

Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 1)
DOI 10.11648/j.jgo.20210901.12
Page(s) 5-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Clandestine Abortion, Complications, Uterine Perforation, Brazzaville

References
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[7] Takongmo S, Nkwabong E, Pisoh-Tanggnying C, Simeu C, Ndiomgba R, Fouda FB. Surgical Complications of Clandestine Abortions: A Review of 51 Patients in Two Hospitals in Yaounde. Clin Mother Child Health 2010; 7: 1–4.
[8] Mayi-Tsonga S, Diallo T, Litovchenko O, Metogho M, Ndombi I. A Comparative Study of the Complications of Clandestine Abortions: Misoprostol versus other Abortive Methods. Clin Mother Child Health 2009; 6 (1): 983–7.
[9] Mayi-Tsonga S, Diallo T, Litovchenko O, Metogho M, Ndombi I. Prevalence of illegal abortions in Libreville Hospital, Gabon. Bull Soc Pathol Exot 2009; 102 (4): 230–2. Doi: 10.3185/pathexo3403.
[10] Aké-Tano SOP, Kpebo DO, Konan YE and al. Abortion Practices in High School Students in Yamoussoukro, Ivory Coast. Santé publique 2017; 29 (5): 711–17.
[11] Kouamé EK, Pete Y, Yapo YP, Koffi N, Coulibaly KT, N’guessan ML. Complications of Induced Abortions Illegal admitted in ICU in Abidjan (Côte d’Ivoire). Rev Afr Anesth Med Urgence 2014; 19 (1): 24–7.
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Cite This Article
  • APA Style

    Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. (2021). Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. Journal of Gynecology and Obstetrics, 9(1), 5-8. https://doi.org/10.11648/j.jgo.20210901.12

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    ACS Style

    Mokoko Jules Cesar; Eouani Levy Max Emery; Buambo Gauthier Regis Jostin; Potokoue Mpia Sekangue Samantha Nuelly; Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J. Gynecol. Obstet. 2021, 9(1), 5-8. doi: 10.11648/j.jgo.20210901.12

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    AMA Style

    Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J Gynecol Obstet. 2021;9(1):5-8. doi: 10.11648/j.jgo.20210901.12

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  • @article{10.11648/j.jgo.20210901.12,
      author = {Mokoko Jules Cesar and Eouani Levy Max Emery and Buambo Gauthier Regis Jostin and Potokoue Mpia Sekangue Samantha Nuelly and Elion Ossibi Pierlesky and Nguelongo Berthrand Lori and Itoua Clautaire and Iloki Leon Herve},
      title = {Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {9},
      number = {1},
      pages = {5-8},
      doi = {10.11648/j.jgo.20210901.12},
      url = {https://doi.org/10.11648/j.jgo.20210901.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.12},
      abstract = {Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.},
     year = {2021}
    }
    

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    AU  - Mokoko Jules Cesar
    AU  - Eouani Levy Max Emery
    AU  - Buambo Gauthier Regis Jostin
    AU  - Potokoue Mpia Sekangue Samantha Nuelly
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    AU  - Nguelongo Berthrand Lori
    AU  - Itoua Clautaire
    AU  - Iloki Leon Herve
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    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    AB  - Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.
    VL  - 9
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Author Information
  • Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

  • Department of Obstetrics Gynecology, Loandjili Hospital, Pointe Noire, Congo

  • Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

  • Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

  • Digestive and Visceral Surgery Department, University Hospital of Brazzaville, Brazzaville, Congo

  • Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

  • Digestive and Visceral Surgery Department, University Hospital of Brazzaville, Brazzaville, Congo

  • Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

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