A Rare Case of Unsafe Abortion in COVID Times

JOURNAL TITLE: AMEI's Current Trends in Diagnosis & Treatment

Author
ISSN
2582-4260
DOI
10.5005/jp-journals-10055-0126
Volume
5
Issue
2
Publishing Year
2021
Pages
3
Article keywords
Fetal head, Hysterectomy, Ileostomy, Unsafe abortion

Abstract

A 29-year-old female, Para 3 Live2 with previous three cesarean sections presented in septic shock after undergoing unsafe abortion for intrauterine fetal demise at 5 months of amenorrhea by untrained person, diagnosed as intrauterine fetal demise at 5 months of amenorrhea. After the procedure, the patient underwent ultrasound which revealed fetal head in peritoneal cavity and perforation of the anterior uterine wall. On laparotomy, after retrieving the head from peritoneal cavity, perforation was found to be irreparable as well as the cecum, colon, and uterus were adherent. During hysterectomy, the cecum got perforated, cecal repair done followed by ileostomy. The patient was discharged in satisfactory condition.

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