Preterm Prelabor Rupture of Membranes (PPROM) and vernix caseosa peritonitis - case report
Vernix caseosa peritonitis
Abstract
Introduction: Vernix caseosa peritonitis (VCP) is a rare postpartum complication rarely recognized by clinicians despite the increased incidence of cesarean sections.
Case report: 23 year old patient with PPROM in progress of uncontrolled pregnancy ends with a caesarean section. On the 4th day after the caesarean section, the patient developed a fever, abdominal pain and laboratory analyzes with elevated inflammatory factors. In lochia swab were founded two bacterias: Escherichia coli and Proteus mirabilis. Relaparotomia was performed and we found hemorrhagic-purulent contents in the abdominal cavity and a multiple cheesy fibrin deposits on the intestines and in the abdominal cavity. Peritoneal lavage was performed and patient was on triple antibiotic therapy for 7 days and completely recovered. Histopathological analysis showed mixture of inflammatory cells concentrated around non-nuclear cells with wrinkled edges, which primarily corresponds to the inflammatory-altered vernix.
Conclusion: VCP early recognition is very important because it can stop resection of the abdominal organs who are altered with inflammation.
References
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