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ACUTE ABDOMEN TWO DAYS AFTER VAGINAL BIRTH AFTER CESAREAN SECTION

DUBRAVKO HABEK ; University Department of Gynecology and Obstetrics, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia
TOMISLAV TRAJBAR ; University Department of Surgery, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia
DAMIR ZUDENIGO ; University Department of Gynecology and Obstetrics, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia
DOMAGOJ DOKOZIĆ ; University Department of Gynecology and Obstetrics, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia
OLIVER VASILJ ; University Department of Gynecology and Obstetrics, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia
BERIVOJ MIŠKOVIĆ ; University Department of Gynecology and Obstetrics, Sveti Duh University Hospital and School of Medicine, University of Zagreb, Zagreb, Croatia

Abstract

A case is presented of puerperal acute abdomen with diffuse peritonitis and paralytic ileus two days after unnoticed complete uterine rupture after VBAC (vaginal birth after cesarean section) and uterine cavity obstetric examination. Explorative laparotomy,
intestinal adhesiolysis, uterine revision and sutures, abdominal lavage and drainage were performed. The operation was followed by successful recovery and intact fertility. Medical and forensic aspects are discussed.

Keywords

uterine rupture; peritonitis; ileus; acute abdomen; vaginal birth after caesarean section

Hrčak ID:

97238

URI

https://hrcak.srce.hr/97238

Publication date:

14.2.2013.

Article data in other languages: croatian

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