Endometrial Necrosis Following B-Lynch Suture for Uterine Atony

• 作者: Wenying Li Wenzhi Qin
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: CESAREAN Section INFERTILITY POSTPARTUM Care POSTPARTUM Hemorrhage POSTPARTUM INFECTIONS
• 年，卷（期）: 2019,（7）
• 页码范围: 1032-1038
• 页数: 7页
• 分类号: R73

摘要

B-Lynch compression suturing was performed on a 30-year old primipara during emergency Cesarean section (CS). After CS, she developed a low-grade fever, a subinvolution and tenderness of the uterus, and a pronounced increase in the inflammatory markers. Antibiotics were altered according to bacterial cultures and drug sensitivity testing of the cervix. By 10 days postpartum, a diagnostic curettage was performed and released a foul-smelling liquid matter due to the substantial amount of heterogeneous material with gaseous echoes showed via ultrasonography. The inflammatory markers gradually returned to normal by 9 days post curettage. At 12-day post curettage, a foul-smelling purulent tissue was extruded spontaneously via the vagina and proved to be necrotic tissue on pathologic examination. Eighteen months after childbirth, the patient had not experienced a menstrual period or subsequent pregnancy and a small uterus without any evidence of an endometrium showed by ultrasonography.