Uterine perforation with bowel prolapsing through vagina following an unsafe abortion

Kamala Verma, Girish Chandra Baniya


An unwanted pregnancy may lead to induced abortion that means willful termination of pregnancy before the period of viability. Most of the times when termination of pregnancy is done by skilled person in fully aseptic environment, complications are low. But severe complication including uterine perforation, bowel injury, sepsis and sometimes death is common when the procedure is carried out by unskilled personnel in unhealthy condition. This case representing the neglected scenario of our maternal health facilities in rural areas where many untrained care providers are still performing illegal and unsafe abortion without knowledge of its grave consequences.


Unsafe abortion, Dilation and curettage, Uterine perforation, Bowel injury, Untrained personnel

Full Text:



Ahman E, Shah I, Butler P. World Health Organisation. Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2003. Geneva: World Health Organization, 2007.

Islam N, Chowdhury SA. The impact of imposing time limits on access to safe abortion care in Bangladesh. 2012.

Singh K, Gupta S, Gupta D, Pargal P. Uterine perforation with bowel infarction in a case of unsafe abortion. JK Science. 2009;11.

Gadappa S, Pardeshi R. Life-Threatening Complications of MTP/Abortion. 2016.

Agarwal S, Salhan S. Septic abortion-current scenario in a tertiary care hospital. J Obstet Gynecol India. 2008;58:147-51.