Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence
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 diffus...
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Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Obstetrics and Gynecology |
Online Access: | http://dx.doi.org/10.1155/2013/578027 |
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author | Taner A. Usta Dogukan Yildirim Sefik E. Ozyurek Elif C. Gundogdu |
author_facet | Taner A. Usta Dogukan Yildirim Sefik E. Ozyurek Elif C. Gundogdu |
author_sort | Taner A. Usta |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-bf61456b911a473fa1907e5f63a193e5 |
institution | Kabale University |
issn | 2090-6684 2090-6692 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Obstetrics and Gynecology |
spelling | doaj-art-bf61456b911a473fa1907e5f63a193e52025-02-03T01:24:55ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/578027578027Conservative Treatment of a Gossypiboma Causing Uterine Wound DehiscenceTaner A. Usta0Dogukan Yildirim1Sefik E. Ozyurek2Elif C. Gundogdu3Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, TurkeyDepartment of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, TurkeyWe 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.http://dx.doi.org/10.1155/2013/578027 |
spellingShingle | Taner A. Usta Dogukan Yildirim Sefik E. Ozyurek Elif C. Gundogdu Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence Case Reports in Obstetrics and Gynecology |
title | Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence |
title_full | Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence |
title_fullStr | Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence |
title_full_unstemmed | Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence |
title_short | Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence |
title_sort | conservative treatment of a gossypiboma causing uterine wound dehiscence |
url | http://dx.doi.org/10.1155/2013/578027 |
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