Intestinal Obstruction from an Adhesion Band Mimicking Peritonitis due to a Complicated Induced Unsafe Abortion: A Case Report

Ibekwe Perpetus Chudi(1), Egwuatu Vincent(2), Okidi Okey(3),


(1) 
(2) 
(3) 
Corresponding Author

Abstract


Miss E.N. a 19-year old nullipara presented at the Accidents and Emergency unit of the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki on the 17/5/06 with symptoms and signs of peritonitis from possible uterine and bowel perforation secondary to induced unsafe abortion. At surgery, it was discovered that her problem was due to mechanical small bowel obstruction from adhesion band following appendicectomy two years previously. The case highlights the similarities of its presentation to some of the complications of induced unsafe abortion. (Afr J Reprod Health 2007; 11[2]:).

 

Keywords: Intestinal obstruction, induced unsafe abortion, post operative adhesion band, peritonitis


References


Kerr Wilson. Injury to Bowel during gynaecological surgery. In: Studd J (ed) Progress in Obstetrics and Gynaecology 1990; 8: 219- 231.

El-Mowafi D, Diamond M. Adhesions and Intestinal obstruction after gynaecological surgery. In: Studd J (ed) Progress in Obstetrics and Gynaecology 2000; 14 : 413-428.

Welch JP. Adhesions. In Welch JP (ed) Bowel obstructions. W B Saunders, Philadelphia 1990; 154-165.

Osuigwe AN, Anyanwu SNC. Acute Intestinal Obstruction in Nnewi, Nigeria, a five-year review. Nigerian Journal of Surgical Research 2002, 4(3): 107 111.

Ulvic NM, Qvigstad E. Mechanical small bowel obstruction due to adhesions. Annals of Clinical Gynaecology 1978; 62: 13-16.

Krebs HE, Goplerud DR. Mechanical intestinal Obstructions in patients with gynaecologic disease: a review of 368 patients. AM J Obstet gynaecol 1987; 157: 577-583.

Helmkamp BF, Kimmel J. Conservative management of small bowel obstruction. AM J Obstet Gynaecol 1985: 152: 677-682.

Peetz DJ, Gamelli RL, Pitcher DB. Intestinal intubation in acute mechanical bowel obstruction. Arch. Surg 1982; 117: 334-339.

Carey JC, Fabri PJ. The intestinal tract in relation to Gynaecology. In: Thompson JD,, Rock JA(eds) Operative Gynaecology. JB Lippencott, Philadelphia 1992; 1017-1047.


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