Concurrent postpartum uterine and abdominal wall dehiscence and Streptococcus anginosus infection.

Abstract:

BACKGROUND:Postpartum uterine scar dehiscence is a rare but potentially lethal complication of cesarean deliveries. CASE:Concurrent abdominal and uterine dehiscences after cesarean delivery for arrest of descent with chorioamnionitis occurred in a 16-year-old patient after her first delivery. The uterine and fascia incisions were reclosed during exploratory laparotomy. Streptococcus anginosus was isolated from the peritoneal fluid. The patient remained afebrile and was discharged 6 days after relaparotomy and took levofloxacin and metronidazole orally for 5 more days. CONCLUSION:Uterine scar separation needs to be considered in patients with a fascial dehiscence after cesarean delivery for arrest of labor. Selected cases can be managed conservatively (uterine reclosure), but patients should be counseled about the possible need for hysterectomy at the time of relaparotomy.

journal_name

Obstet Gynecol

authors

Treszezamsky AD,Feldman D,Sarabanchong VO

doi

10.1097/AOG.0b013e31821619e9

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

449-451

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201108001-00015

journal_volume

118

pub_type

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