Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence
| Autor: | Taner A. Usta, Dogukan Yildirim, Sefik E. Ozyurek, Elif C. Gundogdu |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Case Reports in Obstetrics and Gynecology, Vol 2013 (2013) |
| Druh dokumentu: | article |
| ISSN: | 2090-6684 2090-6692 |
| DOI: | 10.1155/2013/578027 |
| Popis: | We present a rare case with gossypiboma following cesarean section which led to uterine wound dehiscence. A 30-year-old woman had been submitted to an emergency cesarean section 4 months previously at another hospital. Clinical and ultrasound findings revealed a large intra-abdominal mass and diffuse peritonitis. At laparotomy, a gossypiboma causing an abscess and uterine wound dehiscence with necrosis of the margins was detected. We performed repetitive wound debridements under broad-spectrum antibiotic cover and eventually resutured the incision. Although hysterectomy has so far been the choice of treatment in the literature once a uterine wound dehiscence had occurred, it was possible in this case to preserve the uterus. |
| Databáze: | Directory of Open Access Journals |
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