TITLE:
Vaginal Evisceration Following Clandestine Induced Abortion
AUTHORS:
Ahou Bernadette N’Dri, Mamadou Traoré, Blaise Amos Kouakou, Kalou Ismael Leh Bi, Serge Amos Ekra, Inza Bamba, Djahou Ezechiel Akowendo, Kouakou Ibrahim Anzoua, Kouame Bernadin Kouakou, Roger Lebeau, Bamourou Diané
KEYWORDS:
Transvaginal Evisceration, Small Bowel Perforation, Uterine Perforation
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.4,
April
27,
2025
ABSTRACT: Introduction: Transvaginal eviscerations are severe complications of induced abortions, most often clandestine. We report four cases of patients who underwent surgery at the University Hospital of Bouaké. Observations: The study involved four patients aged 24, 27, 35, and 39 years, who were admitted to the gynecological emergency department for transvaginal evisceration following an intrauterine abortion procedure. The gestational age ranged from 14 weeks of amenorrhea (SA) to 16 SA. Upon clinical examination, all cases presented with transvaginal evisceration of the small intestine, associated with generalized acute peritonitis. All patients underwent laparotomy. Intraoperatively, the findings included extensive uterine lacerations and ileal lesions. The uterine injuries were treated by either hystorraphy or hysterectomy. The intestinal lesions were addressed by resection, with or without ileostomy. Postoperative recovery was primarily complicated by wall suppuration. The average length of hospital stay was 7 days. Conclusion: Clandestine abortions are responsible for severe complications, particularly transvaginal eviscerations, which can jeopardize both the vital and obstetric prognosis.