Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

Abstract EN

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.