Uterine Incision Necrosis Following Cesarean Section—a Case Report

Jyoti Baghel, Mridu Sinha, Rajneesh Rawat, Ishita Mehra
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Abstract

Increasing incidence of caesarean sections is a matter of concern globally. This surgical procedure carries its own risks and may lead to potential complications. Uterine incision necrosis is one such rarely encountered complication. The present manuscript describes this rare presentation and its subsequent management based on evidence-based medicine. Here, we report a case of multipara women who presented on a post-operative day (POD)5 of emergency cesarean section done outside with septic shock. On further evaluation based on clinical features, investigations and relevant imaging; patient underwent emergency exploratory laparotomy followed by total hysterectomy. Patient gradually improved and was subsequently discharged. This case report highlights the importance of timed surgical intervention in cases that are consistent with uterine incisional necrosis/dehiscence.

Abstract Image

剖宫产术后子宫切口坏死--病例报告
剖腹产的发生率越来越高,这是一个全球关注的问题。这种手术方式有其自身的风险,并可能导致潜在的并发症。子宫切口坏死就是其中一种罕见的并发症。本手稿描述了这种罕见的表现形式,以及基于循证医学的后续处理方法。在此,我们报告了一例在室外进行紧急剖宫产术后第 5 天(POD)出现脓毒性休克的多产妇。根据临床特征、检查和相关影像学进一步评估后,患者接受了急诊剖腹探查术,随后进行了全子宫切除术。患者病情逐渐好转,随后出院。本病例报告强调了对符合子宫切口坏死/开裂的病例进行适时手术干预的重要性。
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