Post-Cesarean Peritonitis Caused by Hysterorrhaphy Dehiscence with Puerperal Acute Abdomen Syndrome

Author:

Pavoković Dino1,Cerovac Anis23ORCID,Ljuca Dženita45,Habek Dubravko16

Affiliation:

1. University Department of Gynecology and Obstetrics, Clinical Hospital „Sveti Duh“ Zagreb, Zagreb, Croatia

2. Department for Gynecology and Obstetrics, General Hospital Tešanj, Tešanj, Bosnia and Herzegovina

3. Department of Anatomy, University of Tuzla Faculty of Medicine, Tuzla, Bosnia and Herzegovina

4. Clinic for Gynecology and Obstetrisc, Tuzla, University Clinical Center Tuzla, Bosnia and Herzegovina

5. Department of Gynecology and Obstetrics, University of Tuzla Faculty of Medicine, Tuzla, Bosnia and Herzegovina

6. Department of Gynecology and Obstetrics, Croatian Catholic University, Zagreb, Croatia

Abstract

AbstractWe present an overview of the case of a patient with early hysterorrhaphy dehiscence (uteroperitoneal fistula) with endomyometritis and post-cesarean section peritonitis and puerperal acute abdomen in a 35-year-old puerpera. A exploratory relaparotomy, necrectomy, and resuture of the dehiscent part of the hysterotomy were performed with placement of hemostatic sponges on the same portion of the uterus with good recovery.

Publisher

Georg Thieme Verlag KG

Subject

Maternity and Midwifery,Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference9 articles.

1. Postpartum uterine wound dehiscence: a case report;M S Wagner;J Obstet Gynaecol Can,2006

2. Two-dimensional power Doppler-three- dimensional ultrasound imaging of a cesarean section dehiscence with utero-peritoneal fistula: a case report;P Royo;J Med Case Rep,2009

3. Generalized peritonitis with uterine incision necrosis with dehiscence following cesarean section presenting as genitourinary fistula: a unique complication;M Alwani;J Med,2014

4. Routine postpartum ultrasonography in the prediction of puerperal uterine complications;A H Shaamash;Int J Gynaecol Obstet,2007

5. Septic postpartum uterine dehiscence;A S El-Agwany;J Med Ultras,2018

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