Chauhan Pallavi
Obstetrics and Gynaecology, Balasaheb Thackrey Trauma Care Hospital, Mumbai, IND.
Cureus. 2025 May 16;17(5):e84223. doi: 10.7759/cureus.84223. eCollection 2025 May.
This case report describes the incidental finding of uterine perforation during lower segment cesarean section (LSCS) in a 30-year-old woman, G2A1 with a history of a missed abortion. The antenatal period of the current pregnancy was uncomplicated. The patient presented at 39 weeks with complaints of leaking. A detailed examination revealed thick meconium, leading to the diagnosis of premature rupture of membranes. In response to the urgency posed by potential fetal distress, an emergency LSCS was performed. Post-delivery, an incidental intraoperative finding revealed a 2 cm circular uterine perforation at the fundus, actively bleeding. Swift surgical intervention utilizing absorbable suture polyglactin 2.0 achieved successful hemostasis, preventing potential severe complications such as postpartum endometritis and peritonitis. This case highlights the importance of vigilance and prompt intervention in managing unexpected obstetric complications during LSCS.
本病例报告描述了一名30岁、孕2产1且有稽留流产病史的女性在低位剖宫产术（LSCS）期间意外发现子宫穿孔的情况。本次妊娠的产前过程无并发症。患者孕39周时因主诉有液体渗漏就诊。详细检查发现羊水粪染，诊断为胎膜早破。鉴于潜在胎儿窘迫带来的紧迫性，遂行急诊低位剖宫产术。产后，术中意外发现子宫底部有一个2厘米的圆形穿孔，正在出血。迅速采用可吸收缝线聚乙醇酸2.0进行手术干预，成功实现止血，预防了诸如产后子宫内膜炎和腹膜炎等潜在严重并发症。本病例突出了在低位剖宫产术期间处理意外产科并发症时保持警惕和及时干预的重要性。
