Radiology of vernix caseosa peritonitis: Case report and discussion

Myers, James Richard; Fernando, Charitha

doi:10.1111/j.1754-9485.2011.02271.x

Cited by 12 publications

(9 citation statements)

References 4 publications

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“…Diagnosis is often difficult due to lack of awareness of the condition and may only be made following histologic examination. The characteristic intraoperative finding is a cheesy white exudate that coats the visceral organs, which are not inflamed themselves (18,19). Histologic examination of the cheesy exudates is the only way to diagnose VCP.…”

Section: Vernix Caseosa Peritonitismentioning

confidence: 99%

CT findings in acute peritonitis: a pattern-based approach

Filippone¹,

Cianci²,

Pizzi³

et al. 2015

Diagn Interv Radiol

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Section: Vernix Caseosa Peritonitismentioning

confidence: 99%

CT findings in acute peritonitis: a pattern-based approach

Filippone¹,

Cianci²,

Pizzi³

et al. 2015

Diagn Interv Radiol

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“…A recent study showed that radiological imaging may identify lesions in the abdominal wall or peritoneal cavity, and diagnosis can be made by image-guided biopsy. 1 However, this may not be always practical and many patients undergo surgical exploration.…”

Section: Discussionmentioning

confidence: 99%

“…Vernix caseosa peritonitis (VCP) is a very unusual complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity; only 27 cases of this entity have been reported in literature 1–3. All the cases reported occurred after cesarean section 1–18.…”

Section: Introductionmentioning

confidence: 99%

“…13 All the cases reported occurred after cesarean section. 1–18 The previous publications in this field were identified by PubMed Search using the search words “vernix”, “caseosa”, “peritonitis”, “diagnosis”, and “management.” Only three cases have been reported, which had their onset of symptoms from the antenatal period. 7,11 The other cases were diagnosed in the postpartum period after uneventful cesarean section.…”

Section: Introductionmentioning

confidence: 99%

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Vernix Caseosa Peritonitis after Vaginal Delivery

Sadath¹,

Diba²,

Nayak³

et al. 2013

Clin Med Insights Case Rep

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IntroductionVernix caseosa peritonitis (VCP) is a very unusual complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity. Twenty-seven cases have been reported, and all occurred after cesarean section.Case presentationWe present a case of VCP following vaginal delivery; this may be the first case reported after vaginal delivery. Mrs. A, 28 years old, gravida 3, para 2, with one previous cesarean section, was admitted at 41 weeks gestation in active labor. Vacuum extraction was performed to deliver a healthy male baby, 4.410 kg, Apgar scores 7, 8. She developed fever, acute abdominal pain, and distension about 3 hours after delivery. A diagnosis of acute abdomen was made. Laparotomy was performed and it revealed neither uterine scar rupture nor other surgical emergencies, but 500 mL of turbid fluid and some cheesy material on the serosal surface of all viscera. Biopsies were taken. She had a course of antibiotics and her recovery was complete. Histology of the peritoneal fluid and tissue biopsy resulted in a diagnosis of VCP.ConclusionClinical diagnosis of peritonitis due to vernix caseosa should be considered in patients presenting postpartum with an acute abdomen after vaginal delivery.

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“…A study published in 2011 reports that VCP could be diagnosed with image guided biopsy 15 although this may not be practical in the presence of peritonitis and SIRS. Most women in this cohort of patients, in corroboration with our case, progressed to emergency laparotomy and organ resection for presumed diagnoses of more common causes of peritonitis (appendicitis, bowel/ureteric injury or uterine rupture).…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of vernix caseosa peritonitis

Chambers

Patil

Alves

et al. 2012

annals

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INTRODUCTIONVernix caseosa peritonitis (VCP) is a rare and poorly recognised condition resulting from a sustained foreign body reaction to the vernix caseosa of the baby. This case-based review aims to highlight its importance for any medical team managing patients with peritonitis who have undergone a recent Caesarean section.CASE REPORTA 31-year-old woman presented 5 weeks after a Caesarean section with symptoms and signs of peritonitis.CONCLUSIONSLaparotomy and peritoneal lavage is the mainstay of treatment for VCP. Knowledge of the condition may stop inadvertent resection of normal intra-abdominal organs. Greater awareness of VCP is required to ensure earlier recognition as patients can recover well following timely operative intervention.

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Radiology of vernix caseosa peritonitis: Case report and discussion

Cited by 12 publications

References 4 publications

CT findings in acute peritonitis: a pattern-based approach

CT findings in acute peritonitis: a pattern-based approach

Vernix Caseosa Peritonitis after Vaginal Delivery

Delayed presentation of vernix caseosa peritonitis

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