Literature DB >> 28208947

Delayed Uterine Necrosis: Rare Cause of Nonhealing Wound.

Aruna Nigam1, Neha Gupta2, Arifa A Elahi3, Zeeba S Jairajpuri4, Swaraj Batra1.   

Abstract

Uterine necrosis is a very rare condition and most of the reported cases occurred after pelvic arterial embolization for post-partum haemorrhage, embolization of fibroid uterus or application of B-Lynch sutures. A case of delayed myometrial necrosis is reported in post-cesarean patient where no embolization or uterine compression sutures have been applied. Patient presented with foul smelling discharge from the gaped abdominal wound following caesarean section. Abdomen was closed after exploration and lavage. Patient did not have complete healing and area of unhealed wound remained through which subinvoluted uterus was peeping out. Patient was taken for resuturing again but the uterus was found to be completely necrotic and hysterectomy was performed. Patient responded to treatment.

Entities:  

Keywords:  Caesarean section; Necrosis; Non-healing wound; Obstructed labour; Postpartum

Year:  2016        PMID: 28208947      PMCID: PMC5296520          DOI: 10.7860/JCDR/2016/20943.9058

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  9 in total

1.  Uterine necrosis following application of combined uterine compression suture with intrauterine balloon tamponade.

Authors:  W Lodhi; M Golara; V Karangaokar; W Yoong
Journal:  J Obstet Gynaecol       Date:  2012-01       Impact factor: 1.246

2.  [Uterine necrosis after arterial embolization for postpartum hemorrhage].

Authors:  J Belghiti; M Tassin; C Raiffort; M Zappa; O Poujade; H Bout; L Mandelbrot
Journal:  Gynecol Obstet Fertil       Date:  2012-02-16

3.  Uterine necrosis following B-Lynch suture for primary postpartum haemorrhage.

Authors:  N Price; Cb Lynch
Journal:  BJOG       Date:  2006-11       Impact factor: 6.531

4.  Uterine necrosis after B-Lynch suture in a classical caesarean section.

Authors:  Shigeki Matsubara
Journal:  Aust N Z J Obstet Gynaecol       Date:  2013-12       Impact factor: 2.100

5.  Resection and repair of large abdominal wall lesions in gynecologic patients.

Authors:  Zhu-feng Liu; Jin-hui Wang; Bing-qian Cui; Qing-bo Fan; Xiao-jun Wang; Ru Zhao; Ke-xin Song
Journal:  Chin Med J (Engl)       Date:  2013       Impact factor: 2.628

6.  Group A Streptococcus causing a life-threatening postpartum necrotizing myometritis: a case report.

Authors:  Samuel Lurie; Hananya Vaknine; Alexander Izakson; Tally Levy; Oscar Sadan; Abraham Golan
Journal:  J Obstet Gynaecol Res       Date:  2008-08       Impact factor: 1.730

7.  Uterine wall partial thickness necrosis following combined B-Lynch and Cho square sutures for the treatment of primary postpartum hemorrhage.

Authors:  Hani Akoury; Christopher Sherman
Journal:  J Obstet Gynaecol Can       Date:  2008-05

Review 8.  Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature.

Authors:  Olivier Poujade; Pierre François Ceccaldi; Carine Davitian; Pascale Amate; Paul Chatel; Carine Khater; Nizar Aflak; Valérie Vilgrain; Dominique Luton
Journal:  Eur J Obstet Gynecol Reprod Biol       Date:  2013-08-07       Impact factor: 2.435

9.  The tip of the iceberg: Post caesarean wound dehiscence presenting as abdominal wound sepsis.

Authors:  Kaundinya Kiran Bharatam; P K Sivaraja; N J Abineshwar; Vasundhara Thiagarajan; D A Thiagarajan; Sudeep Bodduluri; K B Sriraman; A Vasantha Ragavan; Shanmuga Priya
Journal:  Int J Surg Case Rep       Date:  2015-02-11
  9 in total
  1 in total

1.  Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis.

Authors:  Joan Tymon-Rosario; Meleen Chuang
Journal:  Case Rep Obstet Gynecol       Date:  2019-04-17
  1 in total

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