Concurrent Postpartum Uterine and Abdominal Wall Dehiscence and Streptococcus anginosus Infection

Abstract

Uterine scar separation needs to be considered in patients with a fascial dehiscence after cesarean delivery for arrest of labor. Selected cases can be managed conservatively (uterine reclosure), but patients should be counseled about the possible need for hysterectomy at the time of relaparotomy.

Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

“…On the other hand, many women are reluctant to have an unexpected hysterectomy [8]. Therefore, conservative approaches including wound debridement and resuturing may be alternatives in selected cases [8, 9]. Nevertheless, this may prove to be very difficult due to the friability of the tissue margins [7].…”

Intra-abdominal abscesses secondary to <i>Streptococcus anginosus</i> infection in a postpartum patient: A case report and review of the literature

“…Few reports of S. anginosus group infections are identified in a healthy obstetric and gynecologic patient population. Isolated cases of wound infection, pelvic abscesses, labial abscesses, and tuboovarian abscesses have been previously described [1,8]. Of interest, three cases of epidural abscesses have been reported in obstetric patients, of which one was at 20 weeks of gestation, occurring as a spontaneous event without catheterization or other invasive procedures.…”

Negative pressure wound treatment for uterine incision necrosis following a cesarean section

“…In one case, only peritoneal cleansing and antibiotic lavage were performed [6]. In two other cases, re-suture of the uterine incisional necrosis was reported [1,7].…”