Author(s)

Dabo Aminata¹, Diop Thierno Madane¹, Dembélé Bakary Tientigui², Coulibaly Mahamadoun², Doumbia Arouna², Manganémoustapha Issa¹, Abdoul Hamidou Almeimoune¹, Traoré Alhassane², Togo Adégné², Téguété Ibrahima³, Django Djibo Mahamane¹, Diallo Gangaly²

¹Universal Resuscitation Service at Gabriel Touré Teaching Hospital, Bamako, Mali.
²General Surgery Service of CHU Gabriel Touré, Bamako, Mali.
³Department of Obstetric Gynecologyof CHU Gabriel Touré, Bamako, Mali.

Intra-uterine manual aspiration is the recommended maneuver for abortive endo-uterine evacuation. It must be performed in a medical setting for therapeutic purposes, while respecting its contraindications and asepsis rules essential for its implementation. The ignorance of anatomical structures by the authors of clandestine abortions is marked by the presence of utero-adnexal lesions, digestive lesions and vesical lesions or evisceration by the vagina. Vaginal evisceration of the small bowel is a rare and serious complication of manual intrauterine aspirations and induced abortions. Their late diagnosis and clandestine practice are responsible for unpredictable severe secondary complications and remain an important cause of morbidity and mortality. The development of a policy of continuous training of agents on the technique of manual intrauterine aspiration, broad information on contraceptive methods and a multidisciplinary, rapid and adequate management of complications will provide minimum morbidity and mortality. Conclusion: Abortion is a serious source of life-threatening complications.

Evisceration, Abortion, Surgery, Mali

Aminata, D. , Madane, D. , Tientigui, D. , Mahamadoun, C. , Arouna, D. , Issa, M. , Almeimoune, A. , Alhassane, T. , Adégné, T. , Ibrahima, T. , Mahamane, D. and Gangaly, D. (2018) Evisceration of the Small Bowel in the Vagina Following Endo-Uterine Maneuvers for Clandestine Abortion (APC) at CHU Gabriel Touré, Bamako, Mali. Surgical Science, 9, 148-152. doi: 10.4236/ss.2018.94016.