Peritonitis and Pelviperitonitis Following Clandestinal Abortion Received at Sylvanus Olympio Teatching Hospital of Lomé

Abstract

Introduction: Clandestine induced abortion is responsible for significant morbidity and maternal mortality, most often with peritonitis, which remains a medical and surgical emergency. Even the life-threatening and obstetrical future of the patients is at stake. Objectives: To describe the epidemiological, therapeutic and clinical aspects of patients with post-abortion peritonitis. Material and method: From January 1, 2013 to December 31, 2017, we performed a retrospective study of 42 cases of post-abortion peritonitis divided into 05 pelviperitonitis and 37 peritonitis collected at CHU-SO. Results: One hundred and seventy-six cases of complications of abortion were identified during our study period, of which 42 cases of peritonitis ( 23.86% ). Peritonitis is the most serious complications. The average age of our patients was 25, 61 years old. The most affected age group is the 20-24 age group with a rate of 35.71%, those living in socially disadvantaged conditions (50% female sellers, 16.67% female students), the primiparous (38,10%). Signs of peritoneal irritation associated with malodorous losses were observed in all of our patients. One hundred of the cases benefited from a surgical procedure for drainage washing, intestinal anastomosis resection, uterine perforation suture, anexectomy, hysterectomy and / or placental retention evacuation. The mortality rate was high (14.29%.) Conclusion: Post-abortion peritonitis remains a serious and frequent complication. They are an important predictor of morbidity and mortality in women of childbearing age. The occurrence of these complications can be reduced by the prevention of post-abortion infections and by the information on contraception and the risks run by this practice, which is still clandestine in our countries, but which nevertheless remains frequent.