Vulvar Procidence of Intestinal Anses: A Rare Complication of Uterine Rupture

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Austin J Obstet Gynecol. 2018; 5(3): 1100.

Vulvar Procidence of Intestinal Anses: A Rare Complication of Uterine Rupture

Thiam M1,2*, Gueye L1,2, Mef Dieme4,5, Niang MM4,5, Diouf AA4,5, Ba PA1,3, Gassama O4,5 and Cisse ML1,2

1Department of Health Sciences, University of Thiès, Senegal

2Department of Obstetrics and Gynecology, Thiès Regional Hospital, Senegal

3Department of Surgery and Specialties, Thiès Regional Hospital, Senegal

4Gynecological and Obstetrical Clinic, The Dantec University Teaching Hospital of Dakar (Senegal)

5Cheikh Anta Diop University of Dakar, Senegal

*Corresponding author: Mariétou Thiam, Department of Health sciences, University of Thies, Obstetrician and Gynecologist at the Thies Regional Hospital, Senegal

Received: February 06, 2018; Accepted: February 26, 2018; Published: March 05, 2018

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It is a 20 year old paucipar, received in our structure after delivery in a health post, for placental retention, vulvar externalization of intestinal loops. Childbirth was performed by low voice one hour before with birth of a macrosome (4000g), fresh stillborn. There was dystocia of the shoulders to expulsion, managed by uterine expressions. There was no history of Caesarean section.

On arrival, there was a state of hemorrhagic shock. The gynecological examination found vulvar bleeding, a uterus at the level of the umbilicus, a procidence of maternal intestinal loops through the vulva. The biological assessment found a hemoglobin level at 7.5 g/dl, GB 9.103 g/ul, platelets at 42.103 g/ul, serum creatinine at 16.78 mg/l.

Emergency laparotomy revealed a left uterine rupture extending up to the left appendix, where the slender loops entered the vagina with an externalized necrotic portion.

The placenta sat in the abdomen.

Gestures: Hysterectomy of interannexal haemostasis and intestinal resection of 30cm with ileo-ileal anastomosis. The patient had been resuscitated post-operatively for 8 days. She had received 7 iso-rhesus iso-group blood bags. She was out at J13 postoperatively.

Figure 1: Overall survival, autologous stem cell transplant (ASCT) versus no ASCT (p=0.12).

    

    
    

    

    Figure 1:  Overall survival, autologous stem cell transplant (ASCT) versus no ASCT (p=0.12).

Citation: Thiam M, Gueye L, Mef Dieme, Niang MM, Diouf AA, Ba PA. Vulvar Procidence of Intestinal Anses: A Rare Complication of Uterine Rupture. Austin J Obstet Gynecol. 2018; 5(3): 1100.