Terna Aule, Moses Ahangba Adamgbe, Mary Musa Usman, Anthony Aboki Eko, Akut Daniel John, Busari Abdulmumini, Sunday Christopher Jock, Evelyn Oluwatobi Solomon, Jonah Musa, Benjamin Tagbo Ugwu
{"title":"肠梗阻的不寻常表现：手动真空抽吸术后的子宫穿孔和肠疝。","authors":"Terna Aule, Moses Ahangba Adamgbe, Mary Musa Usman, Anthony Aboki Eko, Akut Daniel John, Busari Abdulmumini, Sunday Christopher Jock, Evelyn Oluwatobi Solomon, Jonah Musa, Benjamin Tagbo Ugwu","doi":"10.4103/jwas.jwas_166_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Uterine perforation following manual vacuum aspiration (MVA) of early pregnancy is an uncommon occurrence. It is even more unusual to be complicated by bowel herniation and intestinal obstruction. Proper evaluation and intervention are required to ameliorate the attendant morbidity.</p><p><strong>Case report: </strong>We reported a case of a 39-year-old known retroviral disease P<sub>1</sub>+[1] nonalive who presented 2 weeks after MVA with clinical and radiological features of complete small bowel obstruction. She was resuscitated and had a laparotomy that revealed a herniated loop of small bowel through a uterine perforation. Resection and anastomosis were done; she made a full recovery and was subsequently discharged on the 7th postoperative day.</p><p><strong>Conclusion: </strong>Public enlightenment, safe sex practices, and public access to health care covered by health insurance would reduce the incidence of this uterine perforation.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"14 4","pages":"435-439"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412581/pdf/","citationCount":"0","resultStr":"{\"title\":\"An Unusual Presentation of Intestinal Obstruction: Uterine Perforation and Bowel Herniation Following Manual Vacuum Aspiration.\",\"authors\":\"Terna Aule, Moses Ahangba Adamgbe, Mary Musa Usman, Anthony Aboki Eko, Akut Daniel John, Busari Abdulmumini, Sunday Christopher Jock, Evelyn Oluwatobi Solomon, Jonah Musa, Benjamin Tagbo Ugwu\",\"doi\":\"10.4103/jwas.jwas_166_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Uterine perforation following manual vacuum aspiration (MVA) of early pregnancy is an uncommon occurrence. It is even more unusual to be complicated by bowel herniation and intestinal obstruction. Proper evaluation and intervention are required to ameliorate the attendant morbidity.</p><p><strong>Case report: </strong>We reported a case of a 39-year-old known retroviral disease P<sub>1</sub>+[1] nonalive who presented 2 weeks after MVA with clinical and radiological features of complete small bowel obstruction. She was resuscitated and had a laparotomy that revealed a herniated loop of small bowel through a uterine perforation. Resection and anastomosis were done; she made a full recovery and was subsequently discharged on the 7th postoperative day.</p><p><strong>Conclusion: </strong>Public enlightenment, safe sex practices, and public access to health care covered by health insurance would reduce the incidence of this uterine perforation.</p>\",\"PeriodicalId\":73993,\"journal\":{\"name\":\"Journal of the West African College of Surgeons\",\"volume\":\"14 4\",\"pages\":\"435-439\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412581/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the West African College of Surgeons\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jwas.jwas_166_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the West African College of Surgeons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jwas.jwas_166_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
An Unusual Presentation of Intestinal Obstruction: Uterine Perforation and Bowel Herniation Following Manual Vacuum Aspiration.
Introduction: Uterine perforation following manual vacuum aspiration (MVA) of early pregnancy is an uncommon occurrence. It is even more unusual to be complicated by bowel herniation and intestinal obstruction. Proper evaluation and intervention are required to ameliorate the attendant morbidity.
Case report: We reported a case of a 39-year-old known retroviral disease P1+[1] nonalive who presented 2 weeks after MVA with clinical and radiological features of complete small bowel obstruction. She was resuscitated and had a laparotomy that revealed a herniated loop of small bowel through a uterine perforation. Resection and anastomosis were done; she made a full recovery and was subsequently discharged on the 7th postoperative day.
Conclusion: Public enlightenment, safe sex practices, and public access to health care covered by health insurance would reduce the incidence of this uterine perforation.
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