Vernix caseosa peritonitis. An infrequent complication of cesarean section with distinctive histopathologic features.

Abstract:

:The authors report two cases of vernix caseosa peritonitis, an infrequent complication of cesarean section with distinctive histopathologic findings. Both patients underwent exploratory laparotomy for unexplained abdominal pain after cesarean section. Histopathologic evaluation of surgically removed tissue revealed an organizing peritonitis, which included prominent collections of anucleate squamous cells in association with a foreign body-type granulomatous response. In both cases, the surgical pathologist suggested that the abdominal pain was likely a result of peritoneal reaction to spillage of keratinous material (vernix caseosa) derived from amniotic fluid contents during cesarean section. Surgical pathologists should be aware of this entity and include it in the differential diagnosis of acute abdominal pain.

journal_name

Am J Clin Pathol

authors

George E,Leyser S,Zimmer HL,Simonowitz DA,Agress RL,Nordin DD

doi

10.1093/ajcp/103.6.681

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

681-4

issue

6

eissn

0002-9173

issn

1943-7722

journal_volume

103

pub_type

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