Uterine and Rectosigmoid Perforation Complicated With Bilateral Tubo-ovarian Abscesses Due to Internationally Performed Dilation and Curettage

Dilation and curettage (D&C) is a common gynecological procedure performed for various indications and is generally considered safe when conducted in appropriate clinical settings. However, when performed in resource-limited environments or under non-standardized protocols, the risk of severe complications increases significantly. We report the case of a 37-year-old woman who presented with flank pain, fever, and dysuria and was found to have bilateral complex tubo-ovarian abscesses and bowel perforation following an elective D&C abortion performed abroad. This report discusses the patient's initial presentation, diagnostic workup, and surgical management, emphasizing the importance of a multidisciplinary approach in caring for patients with complex, life-threatening complications.