1. Concurrent postpartum uterine and abdominal wall dehiscence and Streptococcus anginosus infection.
- Author
-
Treszezamsky AD, Feldman D, and Sarabanchong VO
- Subjects
- Abdominal Wall surgery, Acute Disease, Adolescent, Anti-Bacterial Agents therapeutic use, Ascitic Fluid drug effects, Ascitic Fluid microbiology, Cefazolin therapeutic use, Cesarean Section adverse effects, Chorioamnionitis diagnosis, Chorioamnionitis drug therapy, Chorioamnionitis microbiology, Female, Humans, Levofloxacin, Metronidazole therapeutic use, Ofloxacin therapeutic use, Postoperative Complications drug therapy, Postoperative Complications microbiology, Postpartum Period, Pregnancy, Streptococcal Infections drug therapy, Streptococcus anginosus drug effects, Surgical Wound Dehiscence drug therapy, Uterus drug effects, Uterus surgery, Vasculitis diagnosis, Vasculitis drug therapy, Vasculitis microbiology, Abdominal Wall microbiology, Postoperative Complications diagnosis, Streptococcal Infections diagnosis, Streptococcus anginosus isolation & purification, Surgical Wound Dehiscence microbiology, Uterus microbiology
- 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.
- Published
- 2011
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