title: Delayed Uterine Necrosis: Rare Cause of Nonhealing Wound.
abstract: Uterine necrosis is a very rare condition and most of the reported cases occurred after pelvic arterial embolization for post-partum haemorrhage, embolization of fibroid uterus or application of B-Lynch sutures. A case of delayed myometrial necrosis is reported in post-cesarean patient where no embolization or uterine compression sutures have been applied. Patient presented with foul smelling discharge from the gaped abdominal wound following caesarean section. Abdomen was closed after exploration and lavage. Patient did not have complete healing and area of unhealed wound remained through which subinvoluted uterus was peeping out. Patient was taken for resuturing again but the uterus was found to be completely necrotic and hysterectomy was performed. Patient responded to treatment.
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .
authors.forename: Aruna
authors.initials: A
authors.lastname: Nigam
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .
authors.forename: Neha
authors.initials: N
authors.lastname: Gupta
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .
authors.forename: Arifa A
authors.initials: AA
authors.lastname: Elahi
authors.affiliation: Associate Professor, Department of Pathology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .
authors.forename: Zeeba S
authors.initials: ZS
authors.lastname: Jairajpuri
authors.affiliation: Professor, Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research , Jamia Hamdard, New Delhi, India .
authors.forename: Swaraj
authors.initials: S
authors.lastname: Batra
keywords: Caesarean section; Necrosis; Non-healing wound; Obstructed labour; Postpartum