Small Bowel Mucosal Stripping during medical terminationof Pregnancy: A Rare Complication.

Abstract

Dilatation and curettage (D&C) is one of the most frequently performed procedures for first trimester surgical abortion. The mortality and morbidity of D&C are very low, and perforation of uterus is rare. But curettage of a large, soft postpartum uterus can be a formidable undertaking because the risk of perforation is high and the procedure commonly results in increased rather than decreased bleeding. Although many perforations are innocuous, others lead to infection, hemorrhage, and trauma to abdominal contents. Bowel perforation is a rare complication, it persists as an important cause of peritonitis and sepsis. Stripping of the mucosa through the perforation is very rare complication and Hence we report a case who suffered intestinal perforation with stripping of 40 – 50 cm mucosa during D&C.