Rare Complication Of Cesarean Section Research Articles

Increased bladder injury rate during emergency and repeat cesarean section

Bladder injury is one of the complications of cesarean section (CS). It is reported that the overall incidence of bladder injury is 0.22-0.44% of CS. It is, however, unclear what factors influence this rate. The aim of this study was to determine if there is a difference in bladder injury rate between scheduled and emergency CS, as well as in primary and repeat CS at a large metropolitan hospital that serves a population at high risk for obstetric complications. In addition, the use of urology consultation following bladder injury and whether demographic factors and labor characteristics affect the rate of bladder injury were investigated. A total of 8,488 records were reviewed (4,292 primary CS and 4,196 repeat CS) from January 1, 2013 to December 31, 2020. The incidence of bladder injury was calculated and the rate of intraoperative urology/urogynecology consultation was recorded. Then the association between bladder injury and intraoperative urology/urogynecology consultation and between bladder injury and maternal age, body mass index (BMI), and gestational age were compared. There was a significant increase in risk of bladder injury in repeat CS versus primary CS (p=0.01). There was also a significant increase in risk of bladder injury in emergency CS versus scheduled CS (p=0.04). Intraoperative urogynecology/urology consultations were significantly higher in the bladder injury versus no bladder injury groups (p<0.0001). Both emergency CS and repeat CS are predictors of bladder injury with odd ratios of 5.7 and 7.4, respectively. These results add to the existing evidence that bladder injury is a rare complication in CS that may occur more often in women undergoing repeat or emergency CS than primary or scheduled CS. Given that the risk increases with repeat or emergency CS, patients should be made aware of such risks and surgeons should make careful intraoperative considerations with close postoperative follow-ups.

Ogilvie Syndrome and Acute Kidney Injury: A Rare Complication of Cesarean Section and Preeclampsia

Ogilvie syndrome, or acute colonic pseudo-obstruction (ACPS) is a rare occurrence, usually following surgery. It consists of a massive dilatation of the cecum, whose diameter becomes greater than 10 cm; its severity is variable, but, if not promptly recognized, it may be life-threatening. Acute kidney injury (AKI) is reported in this context due to both septic complications and to effective hypovolemia. ACPS most commonly affects males and individuals older than 60. In women, the median age at diagnosis is lower due to a strong association with Caesarean sections. The differential diagnosis after delivery may be challenging, due to a potential overlap of symptoms with preeclampsia or hemolysis low platelet elevated liver enzymes (HELLP) syndrome, both associated with AKI. The case herein discussed, regarding a 35-year-old woman, who developed AKI and Ogilvie syndrome after a Caesarean section for preeclampsia, may exemplify these diagnostic and therapeutic challenges, and is intended to raise awareness on this unusual complication of Caesarean delivery.

Post-Supravaginal Hysterectomy for Bladder Flap Hematoma in P3A0 Preterm Delivery by Cesarean Section due to Fetal Distress

Introduction: Bladder flap hematoma (BFH) is a rare complication of cesarean section (CS). BFH appears between the bladder and the lower uterine segment (LUS) when the visceral peritoneal is closed during traditional CS techniques and decreased uterine contractions. Surgery is the treatment of choice for the management of peritoneal closure in CS and the decrease in uterine contractions that cause BFH.Case Presentation: A 35-year-old G3P2A0 underwent a cesarean delivery due to fetal distress. CS was performed with the visceral peritoneal sutured as in the traditional technique. Six hours after CS, there was an increase in abdominal circumference, muscle defenses, hypotension, tachycardia, anemia, and leukocytosis. She had to undergo repeated laparotomy with acute abdomen after CS and hysterectomy because uterine atony was found.Conclusions: BFH can be caused by peritoneal closure during CS and decreased uterine contractions or uterine atony. Although there is no standard protocol for management, surgical approaches for cases with infection or bleeding and hysterectomy are performed to save the patient’s life from uterine atony.

Uterocutaneous fistula after cesarean section − a rare diagnosis not to be missed - a case report

Introduction. Uterocutaneous fistula is a rare complication of cesarean section which is challenging to diagnose and treat. The aim of this paper is to present a case of uterocutaneous fistula in order to contribute to the literature and help in the therapy and diagnosis of this rare complication. Case Report. A 29-year-old patient was referred to our clinic two months after her second cesarean section. The immediate postpartum course was complicated by endometritis treated with antibiotic therapy. At the time of admission, she was afebrile, without complaints other than a 2 cm long wound dehiscence on the anterior abdominal wall. The uterocutaneous fistula was confirmed by injecting methylene blue through the dehiscence on the anterior abdominal wall, which then spread into the vagina through the cervix. After laboratory tests, ultrasound and clinical examination, the patient underwent surgery. A total excision of the fistula was performed by laparotomy. Histopathological findings confirmed the diagnosis of uterocutaneous fistula. The postoperative recovery was uneventful. At the follow-up examination, three months after surgery, the patient had no complaints; the menstrual cycles were normal, as well as the transvaginal ultrasound findings. Conclusion. Uterocutaneous fistula is a rare complication following cesarean section. Timely identification of the fistula, its complete resection, and adequate antibiotic therapy in case of infection are necessary.

VP06.06: Uterine artery pseudoaneurysm: rare complication of Caesarean section

VP06.06: Uterine artery pseudoaneurysm: rare complication of Caesarean section

Abdominal Compartment Syndrome after Cesarean Section: A Case Report

Background: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case of ACS after the cesarean section. Case report: We present the case of a 32-year old woman who developed abdominal compartment syndrome 4 days after the cesarean section. The patient's symptoms included severe abdominal distension, fever, decreased haemoglobin level despite normal blood pressure, and decreased urine output. Nasogastric/colonic decompression was not effective. Computed tomography (CT) scan demonstrated partial bowel obstruction. After an emergency decompressive laparotomy due to increased intra-abdominal pressure, the patient was diagnosed with ACS and rescued by supportive conservative treatment. Conclusion: ACS is a rare complication of CS; nonetheless, delayed diagnosis and intervention can cause irreversible damages. The physicians and midwives should be cautious about post caesarean signs and symptoms, including massive abdominal distention, pain, fever, difficulty breathing, and decreased urine output. Conservative therapeutic strategy and decompressive laparotomy is the gold standard treatment for this disease.

Vesico-cervical fistulae: case series

Background Vesico cervical fistula VCF is an extremely rare complication of cesarean section and only sporadic cases have been reported Objectives We wanted to analyze the incidence symptomatology diagnosis and therapeutic aspects of vesico cervical fistula Methods In a six years period we treated four women with vesico cervical fistula mean age years all following a cesarean section Results Here we present the diagnosis management and outcome of women with this complication in our institution Conclusion This report should increase awareness of this uncommon complication and aid in prompt and comprehensive evaluation and management

Post cesarean uterocutaneous fistula with successful repair and successful outcome: A case report

Uterocutaneous fistula is a very rare complication of cesarean section. To the best of the knowledge of the researchers, this is second of such a case previously been reported in the researchers’ environment. A 23-year-old Nigerian (black African) unmarried woman presented four years after cesarean section in a local hospital with one-year history of painful and bloody discharge during menstruation from a previous Pfannenstiel scar. A fistulous tract leading from the incision scar to the uterus was diagnosed. The lesion extended to the lower uterine segment, connecting the endometrial cavity with the skin. The fistulous tract was excised followed by repair of the uterine wound and she had complete relief from symptoms. This case report highlights the rare possibility of uterocutaneous fistula occurring in a woman following cesarean section. Appropriate surgical skills and post-operative care are necessary to prevent this outcome that may be agonizing for the patient.

Pelvic Abscess with Uterine Wound Dehiscence Post Cesarean Section, Rare Presentation with Modified Management: Case Report &amp; Literature Review

The rate of caesarean section rate is increasing worldwide, the ideal rate being from 10 to 15% according to WHO. Various complications are associated with this operative procedure, such as intraoperative hemorrhage, wound and chest infections, abdominal wound dehiscence, from anesthesia, deep vein thrombosis, and pulmonary embolism to name a few. Uterine wound dehiscence is a very rare complication of cesarean section that presents with PPH[1]. Postoperative pyrexia may result from various causes, pelvic abscess being a very rare one, occurring in < 1% of patients with post cesarean endometritis[2]. This report describes anunusual cause of fever following cesarean delivery and presentation of its sequelae, our method of management, its outcome with comparison to similar cases presented in the literature. This the first case report in literature of post-operative pelvic abscess with uterine wound dehiscence, a rare presentationthat was managed with radiological intervention and assistance.

Case Report of Uterocutaneous Fistula

Abstract Uterocutaneous fistula, although not exceptional, is a very rare clinical entity. It occurs most often after uterine or pelvic surgery. We report a case of Uterocutaneous fistula which was formed following lower segment caesarean section. MRI was helpful in the diagnosis and was treated successfully with hysterectomy. This report aims to remind practicing clinicians about this rare complication of caesarean section and discuss our experience with its management.

Le pseudo-anévrysme de l’artère utérine : une cause parfois ignorée d’hémorragie secondaire du post-partum

Uterine artery pseudoaneurysm is a rare complication of cesarean section. It can lead to severe postpartum hemorrhage. We report three cases of pseudoaneurysm diagnosed late after cesarean delivery, one followed by hemorrhagic shock. Ultrasound may point to the diagnosis, but arteriography of uterine arteries is decisive for the diagnosis. Selective artery embolization is recommended for treatment. Main advantages are complete occlusion of the pseudoaneurysm and fertility preservation.

Post Caesarean Section Uterocutaneous Fistula: A Case Report

Post Caesarean Section Uterocutaneous Fistula: A Case Report Uterocutaneous fistula is a very rare clinical entity that usually follows abdominal or pelvic surgery. We report the first case of uterocutaeous fistula that presented in our center. This report aims to remind practicing clinicians about this rare complication of caesarean section and discuss our experience with its management.

Youssef's Syndrome

ABSTRACT Vesicouterine fistula (Youssef's syndrome), a rare complication of cesarean section is presented. A 35-year-old female had vesicouterine fistula with symptoms of apparent amenorrhea, cyclic hematuria and meconuria following cesarean section. The patient was treated by abdominal hysterectomy and the fistula tract was repaired. How to cite this article Nath PK, Samal M, Pradhan K, Mohanta C, Mahapatra S. Youssef's Syndrome. J South Asian Feder Menopause Soc 2014;2(2):113-114.

Utero-cuteneous Fistula: Rare Complication of Caesarean Section

Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 66-67 DOI: http://dx.doi.org/10.3126/njog.v7i1.8842

W361 ENTEROVAGINAL FISTULA: RARE COMPLICATION OF CAESAREAN SECTION, DEMONSTRATED BY HIGH CLINICAL DIAGNOSIS

International Journal of Gynecology & ObstetricsVolume 119, Issue S3 p. S821-S822 Poster presentations W361 ENTEROVAGINAL FISTULA: RARE COMPLICATION OF CAESAREAN SECTION, DEMONSTRATED BY HIGH CLINICAL DIAGNOSIS T.I. Gusau, T.I. GusauSearch for more papers by this authorK. Waaldijik, K. WaaldijikSearch for more papers by this authorA. Tilli, A. TilliSearch for more papers by this author T.I. Gusau, T.I. GusauSearch for more papers by this authorK. Waaldijik, K. WaaldijikSearch for more papers by this authorA. Tilli, A. TilliSearch for more papers by this author First published: 22 October 2012 https://doi.org/10.1016/S0020-7292(12)62084-0AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume119, IssueS3Abstracts of XX FIGO World Congress of Gynecology and ObstetricsOctober 2012Pages S821-S822 RelatedInformation

A cervix penetrating the posterior bladder wall: case report

Clinical manifestations of vesicouterine fistulas, a rare complication of cesarean section, include amenorrhea and cyclic hematuria (menouria) without urinary incontinence, a triad collectively known as "Youssef's syndrome." Fistulas affecting the uterus usually reside above the isthmus or at the cervix and have a distinct morphology composed of granulation tissue, chronic inflammatory cells, and fibrous tissue. We present a case of Youssef's syndrome where the patient's entire cervix penetrated into the posterior bladder wall rather than the two organs connecting via a discrete fistulous tract.

Uterocutaneous fistula following caesarean section (A Case Report

Background: Uterocutaneous fistula is a rare complication of uterine surgery. Surgical treatment with hysterectomy and or excision of the fistuloustract has been successful. A successful medical treatment with gonadotropin releasing hormone agonist (leuprolide acetate) has been reported.A case of uterocutaneous fistula that was successfully treated with excision is reportedCase: A 35 years old para 2 lady, presented with bloody discharge during her menstrual period from a pfannenstiel incision scar, following a repeatcaesarean section. She admitted to post operative wound sepsis. A fistulous tract leading from uterus to the abdominal incision scar wasdemonstrated through a hysterosalpingogram. The patient has been symptoms free following excision and repair.Conclusion: The case highlights this rare complication of caesarean section. It also emphasizes the need for competence at caesarean section andmeasures to prevent post operative sepsis.

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

Vesicouterine fistula (VUF) is a rare complication of cesarean section. We present two cases of VUF that were successfully managed by transperitoneal surgical repair. The first case presented with the Youssef classical triad: cyclical hematuria (menouria), amenorrhea and urinary continence, while the second case presented with total urinary incontinence with normal menstruation. In both cases, diagnosis was confirmed by hysterogram and both were managed by transperitoneal surgical repair. The clinical features, etiologic factors, diagnostic procedures and treatment modalities are discussed in relation to the case and others as reported in the literature.

Uterine Arterial Pseudoaneurysm: Transcatheter Arterial Embolization as a Rare Complication of Caesarean Section

We describe the case of a 22-year-old female who presented to the emergency department with vaginal bleeding after Caesarean section. A diagnosis of pseudoaneurysm of the uterine artery was established radiologically. Pseudoaneurysm of the uterine artery is an uncommon cause of delayed postpartum hemorrhage. This condition can be treated with embolization.

Scar pregnancy: a rare complication of caesarean section

In this paper, we report a rare type of ectopic pregnancy implanted in a previous caesarean scar. Scar pregnancy was diagnosed at six weeks gestation in a woman with three prior caesarean deliveries. Management with the usual dose of Methotrexate was unsuccessful. The patient continued to have pelvic pain, the beta human chorionic gonadotropin (shCG) increased and there was persistent foetal cardiac activity. Subsequently, dilatation and curettage was performed under ultrasound guidance without complications. We conclude that scar pregnancy presents a diagnostic and therapeutic challenge to the clinician and the optimal management strategy needs to be explored.