{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T20:00:12Z","timestamp":1793736012466,"version":"4.6.1"},"reference-count":9,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Clandestine abortion remains a prevalent health concern in developing countries, often resulting in severe complications, including uterine secrosis with generalized peritonitis necessitating life\u2010saving hysterectomy, which results in permanent infertility. A 18\u2010year\u2010old primigravida patient presented to our department with severe abdominal pain and vaginal bleeding following a clandestine abortion attempt, 15\u2009days prior. Furthermore, the patient exhibited symptoms of uncontrollable vomiting and diarrhea that began 4\u2009days prior to admission. Upon further examination, she was diagnosed with peritonitis. We performed an emergency laparotomy. It was discovered that the uterus was necrotic and that the foetus was in the abdominal cavity with its placenta. A hysterectomy was necessary to save the patient's life, resulting in permanent infertility. The patient's postoperative course was uncomplicated, and she was discharged from hospital on the 12th day after surgery. This case highlights the need for political and medico\u2010social actions facilitating access to sexual and reproductive education and to voluntary termination of pregnancy in a legal and medicalized context in our regions.<\/jats:p>","DOI":"10.1002\/ccr3.71689","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T04:53:17Z","timestamp":1765860797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Extensive Uterine Necrosis and Peritonitis Following Clandestine Abortion Attempt: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6326-161X","authenticated-orcid":false,"given":"Hamidou","family":"Soumana Diaouga","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Service, Maternity Issaka Gazobi Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahouza","family":"Boka Tounga","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, National Hospital of Niamey Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adama","family":"Saidou","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, General Referral Hospital of Niamey Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadi","family":"Ide","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, National Hospital of Niamey Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madi","family":"Nayama","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Service, Maternity Issaka Gazobi Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sani","family":"Rachid","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, National Hospital of Niamey Abdou Moumouni University  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010016\u20101926\u20105"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2016.24.98.9307"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2022.104933"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOPEN\u20102018\u2010023021"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.IJGO.2010.01.028"},{"issue":"27","key":"e_1_2_11_7_1","first-page":"25","article-title":"Pelviperitonitis by Post\u2010Abortive Uterine Perforation at the Regional Hospital of Port Gentil, Gabon: A Case Report","volume":"4","author":"Madi T. G.","year":"2024","journal-title":"RECAC"},{"key":"e_1_2_11_8_1","first-page":"1","article-title":"First Case Report of Uterine Perforation and Bowel Incarceration Following a Clandestine Abortion in Morocco","volume":"5","author":"Deflaoui T.","year":"2022","journal-title":"Journal of Surgical Case Reports"},{"issue":"4","key":"e_1_2_11_9_1","first-page":"435","article-title":"An Unusual Presentation of Intestinal Obstruction: Uterine Perforation and Intestinal Hernia Following Manual Vacuum Aspiration","volume":"14","author":"Aule T.","year":"2024","journal-title":"Journal of the West African College of Surgeons"},{"key":"e_1_2_11_10_1","article-title":"Uterine Perforation: An Unusual Cause of Acute Small Bowel Obstruction","volume":"6","author":"Matthys P.","year":"2021","journal-title":"Clinical Surgery"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:29:25Z","timestamp":1766399365000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71689"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/ccr3.71689"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71689","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71689"}}