Abstract
We report the case of a young woman who was admitted because of small bowel obstruction and localized peritonitis following a dilatation and curettage ('D’ and 'C’) of uterus in abortion. As infection, like tubo-ovarian abscess may complicate any abortion, it seems wise to ensure that it does not exist prior to performing a 'D’ and 'C’.
Highlights
Small bowel obstruction is a serious and costly medical condition indicating often emergency surgery
Tuboovarian abscess is often thought to arise from repeated episodes of pelvic inflammatory disease (PID) but may arise after perforations of septic or even therapeutic abortions; after adnexial surgery or caeserian section; from a ruptured appendix; with pelvic malignancy, or rarely after apparently uncomplicated minor gynaecological procedures including removal or insertion of intra-uterine devices and deliveries [2,3,4]
Uterine perforation with small bowel involvement is rare in 1st trimester abortion
Summary
Small bowel obstruction is a serious and costly medical condition indicating often emergency surgery. Small bowel obstruction required 948,000 hospital days annually, amounting for $3.2 billion, with a rate of 117 hospitalizations per 100,000 people. It constitutes 1.9% of all hospital and 3.5% of all emergency admissions that has led to laparotomy in the United States [1]. Due to financial difficulties, microbiology of the purulent exudate was not requested and the excised specimen was not sent for histological examination She received a therapeutic course of intravenous ceftriaxone 1 gm tds and metronidazole 500 mg tds for 7 days that covered the aerobes and anaerobes for a week. She was discharged on the 9th postoperative day on a 1 week course of doxycycline against Chlamydia trachomatis a frequent cause of pelvic inflammatory disease
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