Acquired hematometra post caesarean delivery: a case report

Document Type

Artefact

Department

Internal Medicine (East Africa)

Abstract

Hematometra, an abnormal buildup of blood within the uterus, is a seldom-seen issue often associated with congenital abnormalities or prior surgical procedures that result in blockage of the genitourinary outflow tract with a potential of endometriosis due to retrograde menstruation. We present case of a 38-year-old woman; parity 3, living 2 (P3L2) with a history of caesarean delivery due to intrauterine fetal demise and transverse presentation five years prior admission. The patient reported cyclic abdominal pain, mild distension, and amenorrhea post-caesarean delivery, undergoing three dilatation and curettage procedures during the course of her illness. Abdominal ultrasound and CT imaging confirmed the presence of hematometra, prompting a hysterectomy that revealed cervical stenosis. This case highlights a rare complication associated with caesarean delivery.

Publication (Name of Journal)

PAMJ Clinical Medicine

DOI

https://www.clinical-medicine.panafrican-med-journal.com/content/article/18/2/full/

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