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Post-Caesarean Drain Placement - Minor Procedure Leading to Major Complication
Author(s) -
Richa Sharma,
Kiran Guleria,
Amita Suneja,
Bhartiya
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/22505.9139
Subject(s) - medicine , laparotomy , surgery , caesarean section , complication , perforation , presentation (obstetrics) , breech presentation , pregnancy , genetics , materials science , metallurgy , punching , biology
Intra abdominal drain insertion in doubtful cases has been practised since many years. It may be associated with certain minor as well as major complications like drain site haemorrhage, infection, intestinal perforation and even visceral herniation from the site. Herein, we report a case of 28-year-old unbooked G 2 P 1 L 1 at 33 weeks gestation with previous caesarean, who underwent Lower Segment Caesarean Section (LSCS) in view of breech presentation in labour. On sixth postoperative day, tubular structure herniation through the drain site was observed. She was undertaken for laparotomy and fallopian tube herniation through the drain site was confirmed. Ipsilateral salpingectomy was done. Thus, drain placement lead to prolonged hospital stay and maternal morbidity.

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