[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.
Servicios de Cirugia General y Digestiva, Fundacion Hospital de la Calahorra, Calahorra (La Rioja), Espana. js_beorlegui@hotmail.com
Jesús
J
Sánchez Beorlegui
Ana
A
Alejos Monzón
María Concepción
MC
Llanos Chávarri
Eduardo
E
Monsalve Laguna
Emilio
E
Lagunas Lostao
Félix
F
Lamata Hernández
Alvaro
A
Arribas Cerezo
D000328:Adult; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011644:Puerperal Disorders / Q000209:etiology*; D014708:Vernix Caseosa