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[Acute Generalised Peritonitis Due To Post-Abortal Uterine Perforation: A Case Report From Yalgado Ouedraogo
Hien Dieudonné1, Some Zièm2, Ngoufack Kengne Dorian Valdo3
1Service de gynécologie-obstétrique du centre hospitalier universitaire de Tengandogo, 11 BP 104 CMS Ouagadougou 01, Burkina Faso.
Abstract:
We report a case of generalized acute peritonitis following an unsafe abortion complicated by uterine perforation. The patient was a 32-year-old woman admitted for abdominopelvic pain evolving in a febrile context, with an 8-week history of amenorrhea. On admission, clinical examination revealed a picture of generalized acute peritonitis. Abdominopelvic ultrasound and plain abdominal X-ray revealed an intra-abdominal foreign body (a full pencil). Surgical exploration confirmed generalized acute peritonitis secondary to uterine perforation, with approximately 200 ml of purulent fluid and a complete pencil found in the peritoneal cavity. Combined medical and surgical management led to a favorable outcome.
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