DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20214674

Inadvertent laparoelytrotomy in second stage of labour: a case report

Shristy Mohanty, Satyabhama Marandi, Bhismadev Chhatria

Abstract


Laparoelytrotomy is the accidental delivery via a vaginal incision during caesarean section in second stage of labour. It refers to the inadvertent delivery of the foetus through a transverse incision given over the vagina during a caesarean section (C-section). It is a rather uncommon complication of C-section encountered at advanced dilation which can lead to maternal complications such as traumatic postpartum hemorrhage, injury to bladder, ureters and difficult reconstruction of vagina. Here, we present a case report of inadvertent laparoelytrotomy during C-section.


Keywords


Inadvertent laparoelytrotomy, Caesarean section, Complication

Full Text:

PDF

References


Pereira N, Rasner JN, Brannon RK, Green MA. Inadvertent vaginal entry during cesarean delivery: A report of two cases. J Reprod Med. 2014;59:429-32.

Peleg D, Perlitz Y, Pansky S, Levit A, Ben‑Ami M. Accidental delivery through a vaginal incision (laparoelytrotomy) during caesarean section in the second stage of labour. BJOG. 2001;108:659-60.

Rashid M, Rashid M. Accidental delivery of a baby during a caesarean section through a vaginal incision (a laparoelytrotomy). BMJ Case Rep. 2010;bcr0720103135.

Goodlin RC, Scott JC, Woods RE, Anderson JC. Laparoelytrotomy or abdominal delivery without uterine incision. Am J Obstet Gynecol. 1982;144:990-1.

Gortzak‑Uzan L, Walsch A, Gortzak Y, Katz M, Mazor M, Hallak M, et al. Accidental vaginal incision during cesarean section. A report of four cases. J Reprod Med. 2001;46:1017-20.

Işik AZ, Gülmezoğlu M. Laparoelytrotomy: Abdominal delivery without uterine incision. Am J Obstet Gynecol. 1991;165:781.