Secondary vaginal atresia following caesarean section: an unreported entity

2021 ◽  
Vol 14 (2) ◽  
pp. e238427
Author(s):  
Pruthwiraj Sethi ◽  
Girija Shankar Mohanty ◽  
Supriya Kumari
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Genital Tract ◽  
Rare Case ◽  
Vaginal Atresia ◽  
Secondary Amenorrhoea ◽  
Speculum Examination ◽  
Pelvic Examinations ◽  
Secondary Complication

Postpartum genital tract adhesions are infrequent and exact incidence is not reported. Severe dystocia, obstructed labour and frequent pelvic examinations have been proposed as possible causes of vaginal adhesion following vaginal delivery. Atresia/adhesions of vagina following caesarean section is very rare. Here, we report a rare case of 21-year-old P1L1 woman presenting with secondary amenorrhoea associated with cyclical abdominal pain following caesarean section. Per speculum examination showed a blind vagina with no communication with the upper one-third. We created a neovagina after adhesiolysis. We hope to increase the awareness of the obstetricians around the globe about postpartum genital tract adhesion, which may even occur as a rare secondary complication of caesarean section. We also wish to bring to the light of obstetricians that numerous pelvic examinations or difficult vaginal delivery may lead to genital tract trauma, and thus, must be minimised in an attempt to prevent postpartum genital tract adhesions.

scholarly journals Acquired vaginal stenosis following caesarean delivery: a case report

2017 ◽  
Vol 6 (11) ◽  
pp. 5158
Author(s):  
Chandana Ray Das ◽  
Alakananda . ◽  
Rakhi Bora ◽  
Bonani Das
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Surgical Resection ◽  
Genital Tract ◽  
Caesarean Delivery ◽  
Obstructed Labour ◽  
Irregular Menstruation ◽  
Vaginal Stenosis ◽  
Pelvic Examinations

Postpartum genital tract adhesions are infrequent and their reason has not been appraised. Though, severe dystocia and frequent pelvic examinations have been projected as possible causes. Here, we report a case of vaginal adhesions following caesarean section for obstructed labour that presented as irregular menstruation with desire to remove the PPIUCD. The patient was successfully treated with surgical resection.

scholarly journals Clinical Presentation and Mortality of Women Presented with Puerperal Sepsis at Tertiary Care Hospital

2020 ◽  
pp. 116-121
Author(s):  
Erum Samreen ◽  
Madiha Abbasi ◽  
Naheed Parveen
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Clinical Features ◽  
Vaginal Discharge ◽  
Clinical Presentation ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Puerperal Sepsis

Objective: To determine the clinical presentation and mortality of women presented with puerperal sepsis at tertiary care Hospital. Materials and Methods: This cross-sectional study was conducted at obstetrics and gynaecology department of Liaquat University of medical and health Sciences, from April 2018 to march 2019. Women having age more than 15 years and presented with sepsis after birth followed by spontaneous vaginal delivery, instrumental or episiotomy vaginal delivery or caesarean section were included. All the data including clinical features and mortality were recorded by study proforma. Data was analyzed by using SPSS version 20. Results: Most of the patients 46.6%, having age between 26 to 35 years. Majority of the patients 48.3% were delivered by normal vaginal delivery (NVD) and 37.9% underwent caesarean section, while 13.8% given birth as NVD with episiotomy. Almost all cases presented with fever and other common clinical features were abdominal pain, vaginal discharge, wound infection and breast tenderness. According to the maternal outcome 24.1% patients were shifted to intensive care unit (ICU), 34.5% had prolonged hospital stay and mortality rate was 10.3%. There was no significant difference in maternal outcome according to mod of delivery; p-values were quite insignificant. Conclusion: It was concluded that puerperal sepsis is a major contributing factor of  maternal adverse outcome. Common clinical features were fever, abdominal pain and vaginal discharge.

Breech Presentation: Vaginal Delivery or Caesarean Section?

2016 ◽  
Vol 2 (1) ◽  
pp. 153
Author(s):  
Tomescu Cezar Laurentiu ◽  
Rodica Sîrbu ◽  
Emin Cadar ◽  
Brezeanu Dragos ◽  
Aneta Tomescu
Keyword(s):  
Retrospective Study ◽  
Caesarean Section ◽  
Vaginal Delivery ◽  
Total Population ◽  
Population Sample ◽  
Breech Presentation ◽  
Current Paper ◽  
Clinical Hospital ◽  
Obstetrics And Gynaecology ◽  
Number Of Patients

The incidence of breech presentation is approximately 3,97%. Breech presentation is considered as being “borderline eutocic” and it requires carefully monitoring both the foetus and the mother. The aim of the current paper is to evaluate the preffered method of delivery in case of breech presentation. The paper presents a retrospective study performed in the Obstetrics and Gynaecology Departments of the County Emergency Clinical Hospital “Sf. Apostol Andrei” in Constanta, during a period of 5 years (2010-2014). The methods of birth were analyzed for a lot of 1104 patients with breech presentation with ages ranging between 16 and 44 years old. The total number of patients who gave birth through vaginal delivery was of 139 patients, amounting to 12.59% of the total population sample. The number of patients that gave birth through C-section was 965, which amounts to 87.4% of the total population sample. Birth through C-section is preferred by both obstetricians and patients alike, due to the fact that vaginal delivery is associated with a higher foetal risk in breech presentation.

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals A comparative evaluation of post placental intrauterine contraceptive device (IUCD) insertion between normal delivery and caesarean section

2018 ◽  
Vol 7 (9) ◽  
pp. 3826
Author(s):  
Sharmistha Sarkar ◽  
Dhruba Prasad Paul ◽  
Jayanta Ray
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Comparative Evaluation ◽  
P Value ◽  
Contraceptive Device ◽  
Government Medical College ◽  
Expulsion Rate ◽  
Medical College ◽  
Significant Difference ◽  
Post Placental

Background: Adverse maternal and perinatal outcomes are related to pregnancies spaced too closely together. Objective of present study was to compare the expulsion rate and complications between post placental IUCD insertion between caesarean section and vaginal delivery.Methods: This study was a prospective comparative study conducted in the department of Obstetrics and Gynecology, at Agartala Government Medical College over 1.5 Years (January 2016-June2017) All cases at term pregnancy delivering by caesarean section and vaginal delivery were divided into two different groups. Sample size of 105 in each group. Subjects recruited from-obstetrics OPD and casualty of Agartala Government Medical College (AGMC) and GB Pant Hospital expulsion rate and complications. Comparative evaluation of Expulsion rate and complications following post placental IUCD insertion between caesarean section and vaginal delivery at the end of six months, one year and one and half year.Results: There was no significant difference in either complications between the two groups (P value-.913) or outcomes (p value-.035). Expulsion rate 18.2% following vaginal delivery compared to those with intracaesarean insertion i.e 3.8%.Conclusions: The complications associated with postplacental Intrauterine device insertion is insignificant, still the awareness, acceptance and continuation are very low. Therefore Information, education Communication activity by the field workers must be enhanced to overcome this knowledge gap.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

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