Case Report: Synchronous dehiscence of the abdominal and uterine wounds

Abstract

Two primigravida patients presented with obstructed labour and intrauterine foetal deaths. Caesarean section was done to deliver the dead fetuses. In each, intrauterine sepsis was noted during the procedure. The uterine wounds were closed in two layers with No.2 chromic catgut. The abdomen was closed in mass with nylon. The abdominal and uterine wounds subsequently dehisced synchronously at about 7 days after the operations. Resuture was done using chromic catgut for the uterine wounds and nylon to the abdominal fascia without tension sutures. One patient developed further wound infection but the deep wounds remained intact at about 3 months review. The importance of deep wounds infection in abdominal wound dehiscence is emphasized by these two cases. A subsequent complication of secondary infertility from pelvic infection will take time to evaluate. Keywords: wound dehiscence, synchronous, abdomen, uterus Mary Slessor Journal of Medicine Vol. 5 (1), 2005: 77-80