Gastrointestinal Perforation

  • Goran Augustin


Gastrointestinal perforations of the upper gastrointestinal tract are extremely rare. Peptic ulcer symptoms decrease during pregnancy due to healthier maternal habits during pregnancy in addition to pregnancy-induced hormonal gastroprotection. On the contrary perforations of the lower intestinal tract are more common due to spontaneous, disease-induced, and postinterventional perforations. Aside of intestinal endometriosis-induced perforations, the most common are postinstrumental perforations for termination of pregnancy. This is seen in a form of transuterine bowel perforation and is more common in undeveloped and developing countries where illegal abortion is relatively frequent. It is a complex injury necessitating simultaneous obstetric and surgical management. Extension of bowel injury determines maternal outcome and quality of life.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Goran Augustin
    • 1
    • 2
  1. 1.School of Medicine University of ZagrebZagrebCroatia
  2. 2.Department of SurgeryUniversity Hospital Centre ZagrebZagrebCroatia

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