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Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence

BACKGROUND: Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incid...

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Autores principales: Gabby, Lauryn C., McDaniel, Katherine E., Gordon, Brian J., Al-Marayati, Laila A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261190/
https://www.ncbi.nlm.nih.gov/pubmed/34258089
http://dx.doi.org/10.1155/2021/5591893
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author Gabby, Lauryn C.
McDaniel, Katherine E.
Gordon, Brian J.
Al-Marayati, Laila A.
author_facet Gabby, Lauryn C.
McDaniel, Katherine E.
Gordon, Brian J.
Al-Marayati, Laila A.
author_sort Gabby, Lauryn C.
collection PubMed
description BACKGROUND: Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incidence following cesarean delivery is unknown. CASE: This is a 43-year-old multigravida who underwent a low transverse cesarean delivery complicated by uterine dehiscence, as well as cervical and vaginal lacerations. The repair resulted in lower genital tract obstruction. She presented seven months afterwards with severe abdominopelvic pain and secondary amenorrhea, which resolved after vaginal dilation and excision of the vaginal scar. CONCLUSION: Systematic inspection of the upper vagina should be undertaken following complicated cesarean delivery with vaginal extension. Hematometrocolpos after cesarean delivery should be managed similar to a transverse vaginal septum.
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spelling pubmed-82611902021-07-12 Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence Gabby, Lauryn C. McDaniel, Katherine E. Gordon, Brian J. Al-Marayati, Laila A. Case Rep Obstet Gynecol Case Report BACKGROUND: Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incidence following cesarean delivery is unknown. CASE: This is a 43-year-old multigravida who underwent a low transverse cesarean delivery complicated by uterine dehiscence, as well as cervical and vaginal lacerations. The repair resulted in lower genital tract obstruction. She presented seven months afterwards with severe abdominopelvic pain and secondary amenorrhea, which resolved after vaginal dilation and excision of the vaginal scar. CONCLUSION: Systematic inspection of the upper vagina should be undertaken following complicated cesarean delivery with vaginal extension. Hematometrocolpos after cesarean delivery should be managed similar to a transverse vaginal septum. Hindawi 2021-06-29 /pmc/articles/PMC8261190/ /pubmed/34258089 http://dx.doi.org/10.1155/2021/5591893 Text en Copyright © 2021 Lauryn C. Gabby et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gabby, Lauryn C.
McDaniel, Katherine E.
Gordon, Brian J.
Al-Marayati, Laila A.
Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title_full Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title_fullStr Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title_full_unstemmed Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title_short Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence
title_sort hematometrocolpos following low transverse cesarean delivery complicated by uterine dehiscence
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261190/
https://www.ncbi.nlm.nih.gov/pubmed/34258089
http://dx.doi.org/10.1155/2021/5591893
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