scholarly journals Uterine Perforation and Extensive Large Bowel Injury

2015 ◽  
Vol 7 (3) ◽  
pp. 225-226 ◽  

ABSTRACT Unsafe abortion represents a preventable yet major cause for maternal mortality in India. Complications may occur in these cases and ultimately require tertiary care. Large bowel injury is a rare complication and can occur when the uterus is perforated, allowing the instrument to pierce the underlying structures. Here, we discuss a case of a woman who sustained injury to large bowel during second trimester medical termination of pregnancy (MTP) and had to undergo complete large bowel resection. How to cite this article Chandran JR. Uterine Perforation and Extensive Large Bowel Injury. J South Asian Feder Obst Gynae 2015;7(3):225-226.

1971 ◽  
Vol 41 (1) ◽  
pp. 44-46 ◽  
Author(s):  
K. J. Hardy ◽  
A. M. Cuthbertson ◽  
E. S. R. Hughes

2021 ◽  
pp. 5-6
Author(s):  
Shree Bharathi ◽  
Deepthi Nayak ◽  
Vinodhini Kadir ◽  
Niveditha Jha ◽  
Haritha Sagili

Degloving injury to the bowel following uterine instrumentation is a rare complication of second trimester abortion. Unsafe abortion practices can lead to such complications adding on the maternal mortality and morbidity. Here we present a case of 19-year-old unmarried girl who had undergone medical abortion and sustained decapitation of the fetal head during breech delivery which necessitated instrumentation for its retrieval leading to perforation and degloving bowel injury


2019 ◽  
Vol 29 (4) ◽  
pp. 315-321 ◽  
Author(s):  
Ethan L. Sanford ◽  
David Zurakowski ◽  
Anna Litvinova ◽  
Jill M. Zalieckas ◽  
Joseph P. Cravero

1998 ◽  
Vol 114 ◽  
pp. A903
Author(s):  
H. Printz ◽  
S. Reiter ◽  
N. Samadi ◽  
A. Wagner ◽  
R. Arnold ◽  
...  

2012 ◽  
Vol 126 (3) ◽  
pp. 391-396 ◽  
Author(s):  
Eleftheria Kalogera ◽  
Sean C. Dowdy ◽  
Andrea Mariani ◽  
Giovanni Aletti ◽  
Jamie N. Bakkum-Gamez ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255122
Author(s):  
Joseph Hadaya ◽  
Yas Sanaiha ◽  
Catherine Juillard ◽  
Peyman Benharash

Background Frailty has been recognized as an independent risk factor for inferior outcomes, but its effect on emergency general surgery (EGS) is understudied. Objective The purpose of the present study was to define the impact of frailty on risk-adjusted mortality, non-home discharge, and readmission following EGS operations. Methods Adults undergoing appendectomy, cholecystectomy, small bowel resection, large bowel resection, repair of perforated ulcer, or laparotomy within two days of an urgent admission were identified in the 2016–2017 Nationwide Readmissions Database. Frailty was defined using diagnosis codes corresponding to the Johns Hopkins Adjusted Clinical Groups frailty indicator. Multivariable regression was used to study in-hospital mortality and non-home discharge by operation, and Kaplan Meier analysis to study freedom from unplanned readmission at up to 90-days follow-up. Results Among 655,817 patients, 11.9% were considered frail. Frail patients most commonly underwent large bowel resection (37.3%) and cholecystectomy (29.2%). After adjustment, frail patients had higher mortality rates for all operations compared to nonfrail, including those most commonly performed (11.9% [95% CI 11.4–12.5%] vs 6.0% [95% CI 5.8–6.3%] for large bowel resection; 2.3% [95% CI 2.0–2.6%] vs 0.2% [95% CI 0.2–0.2%] for cholecystectomy). Adjusted non-home discharge rates were higher for frail compared to nonfrail patients following all operations, including large bowel resection (68.1% [95% CI 67.1–69.0%] vs 25.9% [95% CI 25.2–26.5%]) and cholecystectomy (33.7% [95% CI 32.7–34.7%] vs 2.9% [95% CI 2.8–3.0%]). Adjusted hospitalization costs were nearly twice as high for frail patients. On Kaplan-Meier analysis, frail patients had greater unplanned readmissions (log rank P<0.001), with 1 in 4 rehospitalized within 90 days. Conclusions Frail patients have inferior clinical outcomes and greater resource use following EGS, with the greatest absolute differences following complex operations. Simple frailty assessments may inform expectations, identify patients at risk of poor outcomes, and guide the need for more intensive postoperative care.


Author(s):  
Meena Bhati Salvi ◽  
Madhubala Chauhan

Intrauterine retention of fetal bone is a rare complication of second trimester termination of pregnancy. These patients may present with abnormal uterine bleeding, dysmenorrhea and secondary infertility. In this case pelvic pain was the only symptom. A 32-year-old woman with history of second trimester medical termination of pregnancy was examined. Pelvic ultrasound revealed retained products of conception. After surgical evacuation, intrauterine retained fetal bone was identified to be the cause of pelvic pain. In patients with history of second trimester abortion, cause of pelvic pain should be properly evaluated.


Digestion ◽  
1998 ◽  
Vol 59 (6) ◽  
pp. 689-695 ◽  
Author(s):  
H. Printz ◽  
S. Reiter ◽  
N. Samadi ◽  
S. Ebrahimsade ◽  
R. Kirchner ◽  
...  

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