The Agony of Unsafe Abortion in A Teenager: A Case Report

Abstract

This report represents a rare case of omental prolapse through posterior vaginal fornix laceration following an induced unsafe abortion. Miss T.R, a 14 year old orphan and junior secondary school 3 student had three different attempts at termination of 15 weeks pregnancy by a medical doctor in a private clinic. Physical examination at presentation in our teaching hospital revealed a very ill teenager, pale, febrile and tachycardic with an irregular fleshy mass protruding from the introitus and arising from a transverse laceration in the posterior vaginal fornix. After appropriate resuscitation, she had an emergency exploratory laparatomy with excision of the omentum , repair of posterior vaginal fornix laceration and manual vacuum aspiration of retained products of conception. The uterus and appendages were intact. The post operative period was uneventful with satisfactory wound healing. She was discharged home by the seventh day on admission after adequate counseling on contraception and referral to the family planning clinic.

Key words: Unsafe abortion, Teenager, Omental protrusion, Laparotomy.