title: Burst abdomen: an unusual complication of silicosis in pregnancy.
abstract: We present a case of silicosis in a 37-year-old pregnant woman, a second gravida with previous caesarean section. She was referred to our hospital at 42 weeks of gestation with breathlessness and oligohydramnios. She had worked in a glass and talc powder factory for 11 years and was diagnosed as having silicosis 2 years prior; she was on treatment. Following admission, she was evaluated for dyspnoea and underwent emergency Caesarean section for poor cervical dilation. She developed a burst abdomen on the third postoperative day with loops of gangrenous bowel protruding outside the abdomen. Emergency laparotomy with ileal resection and ileostomy was carried out. She was discharged on day 14 and is on follow-up. To the best of our knowledge, this is the first case of silicosis in pregnancy presenting with an unusual complication.
authors.affiliation: Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.
authors.forename: Gajatheepan
authors.initials: G
authors.lastname: Sivabalasubramaniam
authors.affiliation: Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.
authors.forename: Haritha
authors.initials: H
authors.lastname: Sagili
authors.affiliation: Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.
authors.forename: Papa
authors.initials: P
authors.lastname: Dasari
authors.affiliation: Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.
authors.forename: Mamatha
authors.initials: M
authors.lastname: Gowda
mesh_terms: D034841:Abdominal Cavity / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D004417:Dyspnea / Q000209:etiology; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D005734:Gangrene / Q000209:etiology; D006801:Humans; D007081:Ileostomy; D007082:Ileum / Q000473:pathology* / Q000601:surgery; D007231:Infant, Newborn; D007813:Laparotomy; D016104:Oligohydramnios / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery; D012829:Silicosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D058106:Wound Closure Techniques