GENERALIZED PERITONITIS WITH UTERINE INCISION NECROSIS WITH DEHISCENCE FOLLOWING CESAREAN SECTION PRESENTING AS GENITOURINARY FISTULA: A UNIQUE COMPLICATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 3
Abstract
Generalized peritonitis following lower segment caesarean section with uterine incision necrosis and dehiscence presenting as genitourinary fistula is very unusual. Herein we report a case of 28 years old woman who was received in emergency hours as a referred case from a private nursing home with history of caesarean section done 11 days back for premature rupture of membranes and pregnancy induced hypertension. She came with complaints of continuous watery discharge per vaginum, high grade fever with chills and rigor, nausea, vomiting, breathlessness, severe diffuse abdominal pain and distension of abdomen since last 4-5 days. Here acute abdomen series was done. The urologist ruled out genitourinary fistula. CECT of abdomen was done. She was diagnosed to be a case of generalized peritonitis following caesarean section with necrosis and dehiscence of suture line of uterus through which ascitic fluid was being drained into vagina. Consequently, patient underwent laparotomy. Gentle adhesiolysis with supra cervical hysterectomy was done. Thorough drainage and irrigation of pelvi-abdominal cavity was done. Post-operative period was uneventful.
Authors and Affiliations
Madhuri Alwani, Sunita Mishra, Ratna Thakur
Keywords
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- EP ID EP122587
- DOI 10.14260/jemds/2014/1899
- Views 74
- Downloads 0
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