[Puerperal peritonitis due to vernix caseosa].
Vernix caseosa peritonitis (VCP) is a complication caused by inflammatory response to amniotic fluid spilled into the maternal peritoneal cavity during a cesarean section.The physiopathology mechanisms are still incompletely understood. However, keratina granulomas could be induced by the squamous cells inside the vernix.In spite of its infrequent condition this entity should be included in the differential diagnosis of abdominal pain and acute abdomen in the post-partum after cesarean section.In this article, we present a case of VCP, and we discuss the clinical and histopathologic findings that allow its prompt recognition as well as to guide us towards the correct surgical and therapeutic technique.
Sánchez Beorlegui
Jesús
J
Servicios de Cirugia General y Digestiva, Fundacion Hospital de la Calahorra, Calahorra (La Rioja), Espana. js_beorlegui@hotmail.com
Alejos Monzón
Ana
A
Llanos Chávarri
María Concepción
MC
Monsalve Laguna
Eduardo
E
Lagunas Lostao
Emilio
E
Lamata Hernández
Félix
F
Arribas Cerezo
Alvaro
A
D000328:Adult; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011644:Puerperal Disorders / Q000209:etiology*; D014708:Vernix Caseosa