Uterine Perforation during Manual Vacuum Aspiration: Diagnosis and Management at the El Hadj Ibrahima Niass Regional Hospital Center of Kaolack

Background: Manual intrauterine aspiration (MIUA) is widely used for uterine evacuation but may lead to severe complications, including uterine perforation. We report two cases illustrating diagnostic challenges and surgical management in a low-resource setting. Methods: Two patients presenting with intestinal complications following MIUA were evaluated clinically and surgically at the El Hadj Ibrahima Niass Regional Hospital Center. Results: Both cases involved delayed diagnosis of uterine perforation with small-bowel involvement. One patient underwent conservative uterine repair, while the second required hysterectomy and bowel resection. Both recovered favorably following timely surgical intervention. Conclusion: Uterine perforation after MIUA can be life-threatening. Early recognition, adequate provider training, and prompt surgical management are essential to improving outcomes, especially in resource-limited settings.