TITLE:
Endometrial Necrosis Following B-Lynch Suture for Uterine Atony
AUTHORS:
Wenying Li, Wenzhi Qin
KEYWORDS:
Cesarean Section, Infertility, Postpartum Care, Postpartum Hemorrhage, Postpartum Infections
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.7,
July
25,
2019
ABSTRACT: B-Lynch compression
suturing was performed on a 30-year old primipara during emergency Cesarean section (CS). After CS, she developed a
low-grade fever, a subinvolution and tenderness of the uterus, and a pronounced
increase in the inflammatory markers. Antibiotics were altered according to
bacterial cultures and drug sensitivity testing of the cervix. By 10 days postpartum,
a diagnostic curettage was performed and released a foul-smelling liquid matter
due to the substantial amount of heterogeneous material with gaseous echoes showed
via ultrasonography. The inflammatory markers gradually returned to normal by 9
days post curettage. At 12-day post curettage, a foul-smelling purulent tissue
was extruded spontaneously via the vagina and proved to be necrotic tissue on
pathologic examination. Eighteen months after childbirth, the patient had not
experienced a menstrual period or subsequent pregnancy and a small uterus
without any evidence of an endometrium showed by ultrasonography.