Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

Mokoko Jules Cesar; Eouani Levy Max Emery; Buambo Gauthier Regis Jostin; Potokoue Mpia Sekangue Samantha Nuelly; Elion Ossibi Pierlesky; Nguelongo Berthrand Lori; Itoua Clautaire; Iloki Leon Herve

doi:doi:10.11648/j.jgo.20210901.12

Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville

Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, Nguelongo Berthrand Lori, Itoua Clautaire, Iloki Leon Herve

Published in Journal of Gynecology and Obstetrics (Volume 9, Issue 1)

Received: 13 January 2021 Accepted: 27 January 2021 Published: 30 January 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.

Published in	Journal of Gynecology and Obstetrics (Volume 9, Issue 1)
DOI	10.11648/j.jgo.20210901.12
Page(s)	5-8
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Clandestine Abortion, Complications, Uterine Perforation, Brazzaville

References

[1]	United Nations, Department of Economic and Social Affairs, Population Division, 2011, World Contraceptive Use 2010, http://www.un.org/esa/population/publications/wcu2010/Main.html.
[2]	World Health Organisation. Techn Rep Ser 1970, N°461. WHO_TRS_461_fre.pdf.
[3]	Hilal GF, Thiam O, Leye PA, Ndiaye PI, Diouf E. A Serious Complication of Clandestine Induced Abortions: Septic Shock Secondary to Peritonitis by Cecal Perforation with Retention of Instruments. RAMUR 2014. 19 (1): 87-92.
[4]	Guillaume A, Rossier C. Abortion around the World: Status of Legalization, Extent, Trend, and Consequences. Population-F 2018; 73 (2): 225-322. Doi: 10.3917/popu.1802.225.
[5]	Iloki LH, Zakouloulou-Massala A, Gbala-Sapoulou MV. Complications of Clandestine Abortions: About 221 Cases Observed at the CHU of Brazzaville (Congo). Med Afr Noire 1997; 44 (5): 262–4.
[6]	Mbou Essie DE, Ndinga H, Niama A, Oyere G, Kifoueni G, Ibara JR. Complicated Clandestine Abortions and Street Drugs in Brazzaville. Pan Afr Med Journal 2020; 36: 143. 10.11604/pamj.2020.36.143.18816.
[7]	Takongmo S, Nkwabong E, Pisoh-Tanggnying C, Simeu C, Ndiomgba R, Fouda FB. Surgical Complications of Clandestine Abortions: A Review of 51 Patients in Two Hospitals in Yaounde. Clin Mother Child Health 2010; 7: 1–4.
[8]	Mayi-Tsonga S, Diallo T, Litovchenko O, Metogho M, Ndombi I. A Comparative Study of the Complications of Clandestine Abortions: Misoprostol versus other Abortive Methods. Clin Mother Child Health 2009; 6 (1): 983–7.
[9]	Mayi-Tsonga S, Diallo T, Litovchenko O, Metogho M, Ndombi I. Prevalence of illegal abortions in Libreville Hospital, Gabon. Bull Soc Pathol Exot 2009; 102 (4): 230–2. Doi: 10.3185/pathexo3403.
[10]	Aké-Tano SOP, Kpebo DO, Konan YE and al. Abortion Practices in High School Students in Yamoussoukro, Ivory Coast. Santé publique 2017; 29 (5): 711–17.
[11]	Kouamé EK, Pete Y, Yapo YP, Koffi N, Coulibaly KT, N’guessan ML. Complications of Induced Abortions Illegal admitted in ICU in Abidjan (Côte d’Ivoire). Rev Afr Anesth Med Urgence 2014; 19 (1): 24–7.
[12]	Lebeau R, Guié P, Bohoussou E and al. An Uncommon Complication of Unsafe Induced Abortion: Bowel Prolapse through Uterine Perforation. Gynecol Obstet Fertil 2013; 41: 193–5.
[13]	Ka I, Diop PS, Niang AB, Faye A, Ndoye JM, Fall B. Acute Generalized Peritonitis due to Uterine Perforation following Abortion: Case Study Observation. Pan Afr Med J 2016; 24: 981-4. Doi: 10.11604/pamj.2016.24.98.9307.
[14]	Ouattara A, Ouedraogo A, Ouedraogo CM, Lankoande J. Unsafe Abortions in countries that Restrict Legal Abortions Epidemiologic, Clinical, and Prognostic Aspects at the University Hospital Center Yalgado-Ouédraogo of Ouagadougou. Med Sante Trop 2015; 25: 210-214. Doi: 10.1684/mst.2015.0464.
[15]	Osur J, Orago A, Mwanzo I, Bukusi E. Social Networks and Decision Making for Clandestine Unsafe Abortions: Evidence from Kenya. Afr J Reprod Health 2015; 19 (1): 34-43.
[16]	Omba KJC. Sexual Violence in Congo-Kinshasa: Necessity of Decriminalizing Abortion. Rev Med Brux 2012, 33: 482–6.
[17]	Goran A, Mate M, Tomislav L. Uterine Perforation as a Complication of Surgical Abortion causing Small Bowel Obstruction: A Review. Arch Gynecol Obstet 2013; 288: 311–23. Doi: 10.1007/s00404-013-2749-4.
[18]	Huei-Ming C, Ching-Ju-S, Cheng-Yeh L, Wing-Mei T. Uterine Perforation, and Bowel Incarceration following Surgical Abortion during the First Trimester. Taiwan J Obstet Gynecol 2008; 47 (4): 448–50.
[19]	Harioly Nirina MOJ, Randriambololona DMA, Ranaivo I, Rasolonjatovo T, Rakotoambinima B. Epidemiological Aspect of Post-abortion Pelviperitonitis. Rev Trop Chir 2010; 4: 27-9.
[20]	Dossou FM, Hounkpè PC, Tonate Bagnan JA, Denakpo J, Sohou P. Small Bowel Prolapsed through Perforated Uterus following Illegal Induced Abortion. Surgery Curr Res 2012; 2 (4): 1-2.
[21]	OMS, 2011, Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008 6th ed., Geneva, World Health Organization.
[22]	Åhman E., Shah I. H. New estimates and trends regarding unsafe abortion mortality. Int J Gynecol Obst 2011; 115 (2): 121–6.

Cite This Article

Plain Text BibTeX RIS

APA Style

Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. (2021). Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. Journal of Gynecology and Obstetrics, 9(1), 5-8. https://doi.org/10.11648/j.jgo.20210901.12

Copy | Download

ACS Style

Mokoko Jules Cesar; Eouani Levy Max Emery; Buambo Gauthier Regis Jostin; Potokoue Mpia Sekangue Samantha Nuelly; Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J. Gynecol. Obstet. 2021, 9(1), 5-8. doi: 10.11648/j.jgo.20210901.12

Copy | Download

AMA Style

Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J Gynecol Obstet. 2021;9(1):5-8. doi: 10.11648/j.jgo.20210901.12

Copy | Download

@article{10.11648/j.jgo.20210901.12,
  author = {Mokoko Jules Cesar and Eouani Levy Max Emery and Buambo Gauthier Regis Jostin and Potokoue Mpia Sekangue Samantha Nuelly and Elion Ossibi Pierlesky and Nguelongo Berthrand Lori and Itoua Clautaire and Iloki Leon Herve},
  title = {Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {1},
  pages = {5-8},
  doi = {10.11648/j.jgo.20210901.12},
  url = {https://doi.org/10.11648/j.jgo.20210901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.12},
  abstract = {Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville
AU  - Mokoko Jules Cesar
AU  - Eouani Levy Max Emery
AU  - Buambo Gauthier Regis Jostin
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Elion Ossibi Pierlesky
AU  - Nguelongo Berthrand Lori
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2021/01/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210901.12
DO  - 10.11648/j.jgo.20210901.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 5
EP  - 8
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210901.12
AB  - Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.
VL  - 9
IS  - 1
ER  -

Copy | Download

Author Information

Mokoko Jules Cesar

Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo
Eouani Levy Max Emery

Department of Obstetrics Gynecology, Loandjili Hospital, Pointe Noire, Congo
Buambo Gauthier Regis Jostin

Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo
Potokoue Mpia Sekangue Samantha Nuelly

Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo
Elion Ossibi Pierlesky

Digestive and Visceral Surgery Department, University Hospital of Brazzaville, Brazzaville, Congo
Nguelongo Berthrand Lori

Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo
Itoua Clautaire

Digestive and Visceral Surgery Department, University Hospital of Brazzaville, Brazzaville, Congo
Iloki Leon Herve

Department of Obstetrics Gynecology, University Hospital of Brazzaville, Brazzaville, Congo

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. (2021). Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. Journal of Gynecology and Obstetrics, 9(1), 5-8. https://doi.org/10.11648/j.jgo.20210901.12

Copy | Download

ACS Style

Mokoko Jules Cesar; Eouani Levy Max Emery; Buambo Gauthier Regis Jostin; Potokoue Mpia Sekangue Samantha Nuelly; Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J. Gynecol. Obstet. 2021, 9(1), 5-8. doi: 10.11648/j.jgo.20210901.12

Copy | Download

AMA Style

Mokoko Jules Cesar, Eouani Levy Max Emery, Buambo Gauthier Regis Jostin, Potokoue Mpia Sekangue Samantha Nuelly, Elion Ossibi Pierlesky, et al. Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville. J Gynecol Obstet. 2021;9(1):5-8. doi: 10.11648/j.jgo.20210901.12

Copy | Download

@article{10.11648/j.jgo.20210901.12,
  author = {Mokoko Jules Cesar and Eouani Levy Max Emery and Buambo Gauthier Regis Jostin and Potokoue Mpia Sekangue Samantha Nuelly and Elion Ossibi Pierlesky and Nguelongo Berthrand Lori and Itoua Clautaire and Iloki Leon Herve},
  title = {Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {9},
  number = {1},
  pages = {5-8},
  doi = {10.11648/j.jgo.20210901.12},
  url = {https://doi.org/10.11648/j.jgo.20210901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210901.12},
  abstract = {Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Clandestine Abortion Complicated by Intestinal Evisceration by Vaginal Route: About a Case at the University Hospital of Brazzaville
AU  - Mokoko Jules Cesar
AU  - Eouani Levy Max Emery
AU  - Buambo Gauthier Regis Jostin
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Elion Ossibi Pierlesky
AU  - Nguelongo Berthrand Lori
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2021/01/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jgo.20210901.12
DO  - 10.11648/j.jgo.20210901.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 5
EP  - 8
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20210901.12
AB  - Introduction. Clandestine abortion, performed under unfavorable conditions, is fraught with complications that can affect both the genitals and extra genitals. Illegal in some developing countries, abortion is responsible for high maternal mortality, of which it is the third cause. Clinical observation. We report the case of a 16-year-old adolescent girl admitted for pelvic pain and genital bleeding with extragenital exteriorization of an intestinal loop following an abortive endo-uterine maneuver, at the end of 16 weeks of amenorrhea depending on the date of the last period. After laparotomy, there was a uterine perforation of the antero-inferior surface with ileo-jejunal evisceration, requiring the performance of an intestinal resection with end-to-end anastomosis and hysterorrhaphy. Conclusion. The complications of clandestine abortions are still relevant in our country, despite the awareness of family planning and contraceptive measures. The lack of a legal framework governing the medical care of abortion leaves free rein to unqualified personnel on the one hand or to artisanal practice on the other, thus exposing them to the risk of high maternal morbidity and mortality.
VL  - 9
IS  - 1
ER  -

Copy | Download