Andre Ngandji, Juliette Ngo Um Meka Esther, Joel Fokom, Brigitte Wandji, Pascal Foumane
Department of Gynecology and Obstetrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Department of Gynecology and Obstetrics, The Yaoundé Gyneco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon.
Case Rep Obstet Gynecol. 2017;2017:7130479. doi: 10.1155/2017/7130479. Epub 2017 Oct 9.
In many developing countries like Cameroon, unsafe abortion is a major public health problem. It can be responsible for severe complications including damage to the digestive and/or urinary tract, sepsis, and uterine perforation. Uterine perforation could be caused by most of the instruments that are used to evacuate the uterus. We report a case of apparent uterine perforation and subsequent migration of the plastic or rubber catheter into the peritoneal cavity during an abortion procedure performed in a setting that may have been unsafe. The discovery was made during a diagnostic laparoscopy indicated for secondary infertility of tubal origin 16 years after the abortion procedure. This is a rare clinical finding which is of therapeutic and diagnostic importance. To the best of our knowledge, a single similar case has been reported so far in the literature.
在许多像喀麦隆这样的发展中国家，不安全堕胎是一个重大的公共卫生问题。它可能导致严重并发症，包括对消化道和/或泌尿道的损伤、败血症以及子宫穿孔。子宫穿孔可能由大多数用于清空子宫的器械引起。我们报告了一例在可能不安全的环境中进行堕胎手术时出现明显子宫穿孔，随后塑料或橡胶导管移入腹腔的病例。这一发现是在堕胎手术16年后因输卵管源性继发性不孕而进行的诊断性腹腔镜检查中做出的。这是一个罕见的临床发现，具有治疗和诊断意义。据我们所知，迄今为止文献中仅报道过一例类似病例。
