A Rare Case of Mesenteric Trauma after a Clandestine Abortion in Morocco

Authors

  • Et-Tayab Ouazzzani General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • Younes Hamdouni General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • Tarik Souiki General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • Imane Toughrai General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • karim ibn Majdoub General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • EL bachir Benjelloun General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • khalid Mazaz General Surgery Department , Hassan II university Hospital , Fes ,Morocco

Keywords:

Mesenteric Trauma, clandestine abortion, surgical emergency

Abstract

In Morocco abortion is illegal; this is why the termination of pregnancy is performed in unsafe conditions which may lead to uterine perforation, mesenteric trauma, uncontrolled hemorrhage and even death. The small bowel is the most commonly injured due to its pelvic location and mobility. We report a case of 28-year-old nulliparous married female who presented to the emergency department after a failed abortion procedure. We performed haemostatic suture of the uterine lesion then resection of the injured distal bowel, and then a stoma was confected. The patient was discharged after 2 weeks of hospitalisation .Three months later; the stoma reversal surgery was done without complication. This case underlines the need for a regulation of a safe abortion in the world.

References

. Bela Ganatra, Caitlin Gerdts, Clémentine Rossier, Brooke Ronald Johnson, Özge Tunçalp, Anisa Assifi, Gilda Sedgh, Susheela Singh, Akinrinola Bankole, Anna Popinchalk, Jonathan Bearak, Zhenning Kang, Leontine Alkema, Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from Bayesian hierarchical model, The Lancet,Volume 390, Issue 10110,2017,Pages 2372-2381,ISSN 0140-6736, https://doi.org/10.1016/S0140-6736(17)31794-4.

. Jhobta RS, Attri AK, Jhobta A. Bowel injury following induced abortion. Int J Gynaecol Obstet. 2007;7(1):24-27

. Coffman S. Bowel injury as a complication of induced abortion. Am Surg. 2001;7(10):924-26

. Osime U. Intestinal injury following induced abortion. “A report of 4 cases” Nig Med J. 1978;7(4):378-80.

. Augustin G, Majerović M, Luetić T. Uterine perforation as a complication of surgical abortion causing small bowel obstruction: a review. Arch Gynecol Obstet. 2013 Aug;288(2):311-23. doi: 10.1007/s00404-013-2749-4. Epub 2013 Feb 12. PMID: 23400356.

. Killeen KL, Shanmuganathan K, Poletti PA, Cooper C, Mirvis SE. Helical computed tomography of bowel and mesenteric injuries. J Trauma. 2001 Jul;51(1):26-36. doi: 10.1097/00005373-200107000-00005. PMID: 11468463

. Renz BM, Feliciano DV. Unnecessary laparotomies for trauma: a prospective study of morbidity. J Trauma. 1995 Mar;38(3):350-6. doi: 10.1097/00005373-199503000-00007. PMID: 7897713.

. Stefanou CK, Stefanou SK, Tepelenis K, Flindris S, Tsiantis T, Spyrou S. A big mesenteric rupture after blunt abdominal trauma: A case report and literature review. Int J Surg Case Rep. 2019;61:56-59. doi: 10.1016/j.ijscr.2019.06.041. Epub 2019 Jul 9. PMID: 31336242; PMCID: PMC6656956.

. Scott M. Kambiss, DO, Milo L. Hibbert, MD, Christian Macedonia, MD, Mark E. Potter, MD, Uterine Perforation Resulting in Bowel Infarction: Sharp Traumatic Bowel and Mesenteric Injury at the Time of Pregnancy Termination, Military Medicine, Volume 165, Issue 1, January 2000, Pages 81–82, https://doi.org/10.1093/milmed/165.1.81

Downloads

Published

2021-06-04

How to Cite

Ouazzzani, E.-T. ., Hamdouni, Y. ., Souiki, T. ., Toughrai, I. ., Majdoub, karim ibn ., Benjelloun, E. bachir ., & Mazaz, khalid . (2021). A Rare Case of Mesenteric Trauma after a Clandestine Abortion in Morocco. American Academic Scientific Research Journal for Engineering, Technology, and Sciences, 79(1), 186–190. Retrieved from https://www.asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/6864

Issue

Section

Articles