Case of postoperative haematometra in a 40-year-old woman

Saeed, Ghufran

doi:10.26719/2010.16.2.237

Cited by 3 publications

(5 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hematometrocolpos is a very rare complication following cesarean delivery, with only a few reports of hematometra existing in the literature [4][5][6][7]. Our patient experienced cervical and vaginal lacerations during the cesarean procedure, which were repaired abdominally.…”

Section: Discussionmentioning

confidence: 87%

“…This led to uterine synechiae which required hysteroscopic adhesiolysis. A separate case likely resulted from inadvertent suturing of the anterior and posterior uterine walls during hysterotomy repair, which created a uterine pouch that did not communicate with the vagina [ 5 ]. Uterine compression sutures and postoperative endometritis have also been associated with postcesarean hematometra [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Iatrogenic cases of hematometrocolpos are rare but have been reported after radiation therapy [1,2] and vaginal deliveries causing obstetric trauma resulting in vaginal/labial adhesions [1][2][3]. Few cases of hematometra following cesarean section have been reported in the literature [4][5][6][7]; however, hematometrocolpos following cesarean section has not been yet been described, and the incidence is unknown. Most cases of hematometrocolpos are seen in adolescents, as a result of abnormal development of the lower genital tract.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence

Gabby

McDaniel

Gordon

et al. 2021

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Background. Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incidence following cesarean delivery is unknown. Case. This is a 43-year-old multigravida who underwent a low transverse cesarean delivery complicated by uterine dehiscence, as well as cervical and vaginal lacerations. The repair resulted in lower genital tract obstruction. She presented seven months afterwards with severe abdominopelvic pain and secondary amenorrhea, which resolved after vaginal dilation and excision of the vaginal scar. Conclusion. Systematic inspection of the upper vagina should be undertaken following complicated cesarean delivery with vaginal extension. Hematometrocolpos after cesarean delivery should be managed similar to a transverse vaginal septum.

show abstract

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence

Gabby

McDaniel

Gordon

et al. 2021

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…Manual removal of the placenta can contribute significantly to these complications [2]. Hematometra in cesarean section could be because of inappropriate uterine closure due to stitching of anterior and posterior uterine wall creating a uterine pouch where blood could get collected over several years [3]. Dadhwal et al, reported a case of PPH managed successfully with uterine compression sutures that later presented with hematometra [4].…”

Section: Discussionmentioning

confidence: 99%

Hematometra Formation- A Rare Complication of Cesarean Delivery

Kaur

Jain

Sharma

et al. 2014

JCDR

View full text Add to dashboard Cite

A 30-year-old P 1 L 0 presented to outpatient department with complaint of irregular, scanty menses for three years. She had undergone cesarean delivery five years back for non progress of labour in a village. It was a macerated still birth. According to her, postoperative period was uneventful. She resumed menses only for a few cycles followed by amenorrhea, cyclical lower abdominal pain and abdominal distension. Ultrasonography at a private hospital revealed uterine collection. Cervical dilatation and curettage was done at that time and blood clots removed. Following this, she resumed irregular, scanty menses and cyclical lower abdominal pain continued, with which she reported to our hospital. Examination revealed abdominal pfannenstiel scar and suprapubic vague fullness. On per-speculum, cervix and vagina were normal and brownish discharge was present at external os.

show abstract

“…5 Inappropriate closure of anterior and posterior wall of uterus during lscs can creat a uterine pouch and lead to hematometra. 6 We report this unusual case of cervical stenosis which could be a result of cesarean section or VVF repair leading to hematometra formation.In this case cervix could not be dilated causing perforation through the anterior wall of cervix so we proceeded with hysterectomy and secondary VVF repair.…”

Section: Case Reportmentioning

confidence: 99%