TITLE:
Uterine Perforation during Manual Vacuum Aspiration: Diagnosis and Management at the El Hadj Ibrahima Niass Regional Hospital Center of Kaolack
AUTHORS:
Diallo Moussa, Gueye Khalifa Ababacar, Thiam Ousmane, Diallo Abdoulaye, Diouf Abdoul Aziz, Sene Mouhamet, Dia Anna, Gakou Nicole Fatou Bintou Sow, Diouf Alassane
KEYWORDS:
Manual Intrauterine Aspiration, Uterine Perforation, Intestinal Injury, Post-Abortion Care, Surgical Management
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.1,
January
8,
2026
ABSTRACT: Background: Manual intrauterine aspiration (MIUA) is widely used for uterine evacuation but may lead to severe complications, including uterine perforation. We report two cases illustrating diagnostic challenges and surgical management in a low-resource setting. Methods: Two patients presenting with intestinal complications following MIUA were evaluated clinically and surgically at the El Hadj Ibrahima Niass Regional Hospital Center. Results: Both cases involved delayed diagnosis of uterine perforation with small-bowel involvement. One patient underwent conservative uterine repair, while the second required hysterectomy and bowel resection. Both recovered favorably following timely surgical intervention. Conclusion: Uterine perforation after MIUA can be life-threatening. Early recognition, adequate provider training, and prompt surgical management are essential to improving outcomes, especially in resource-limited settings.