A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage
Joint Authors
Koh, Krystal
Kanagalingam, Devendra
Kathirvel, Rajeswari
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-27
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A woman in her early twenties with dichorionic diamniotic twins underwent emergency caesarean section (CS) for failed induction of labor for discordant growth at 37 weeks.
Her CS was complicated by atonic postpartum hemorrhage (PPH) requiring uterotonics, B-lynch suture, and Bakri balloon.
She presented on the 5th postoperative day (POD) with fever and wound pain and collapsed due to desaturation.
Investigations confirmed ascites on computed tomography (CT) of her abdomen and cardiomyopathy on echocardiogram.
She was readmitted on the 22nd POD with watery vaginal discharge.
CT abdomen revealed a dehisced CS scar and loculated ascites.
Her discharge settled after three weeks with antibiotics and drainage of the ascites.
A CT scan 3 months later showed reduction of the peritoneal collection.
Caesarean scar dehiscence should be considered for patients presenting with ascites and vaginal discharge after a CS, particularly in the presence of risk factors such as infection or anemia.
American Psychological Association (APA)
Koh, Krystal& Kanagalingam, Devendra& Kathirvel, Rajeswari. 2020. A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149073
Modern Language Association (MLA)
Koh, Krystal…[et al.]. A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1149073
American Medical Association (AMA)
Koh, Krystal& Kanagalingam, Devendra& Kathirvel, Rajeswari. A Rare Case of Watery Vaginal Discharge due to Caesarean Scar Dehiscence following Brace Suture and Balloon Tamponade for the Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1149073
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149073