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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Main Authors: Taner A. Usta, Dogukan Yildirim, Sefik E. Ozyurek, Elif C. Gundogdu
Format: Article
Language:English
Published: Wiley 2013-01-01
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.
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institution Kabale University
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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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AT sefikeozyurek conservativetreatmentofagossypibomacausinguterinewounddehiscence
AT elifcgundogdu conservativetreatmentofagossypibomacausinguterinewounddehiscence