Incidental Diagnosis of Uterine Perforation During Lower Segment Caesarean Section: A Rare Obstetric Complication

TL;DR

A rare case of uterine perforation discovered during a cesarean section is reported, emphasizing the need for prompt surgical action to prevent serious complications.

Contribution

This case report adds to the literature on rare obstetric complications during cesarean sections and emphasizes surgical vigilance.

Findings

Uterine perforation was incidentally found during an emergency cesarean section.

Successful hemostasis was achieved using absorbable suture, preventing severe postpartum complications.

Abstract

This case report describes the incidental finding of uterine perforation during lower segment cesarean section (LSCS) in a 30-year-old woman, G2A1 with a history of a missed abortion. The antenatal period of the current pregnancy was uncomplicated. The patient presented at 39 weeks with complaints of leaking. A detailed examination revealed thick meconium, leading to the diagnosis of premature rupture of membranes. In response to the urgency posed by potential fetal distress, an emergency LSCS was performed. Post-delivery, an incidental intraoperative finding revealed a 2 cm circular uterine perforation at the fundus, actively bleeding. Swift surgical intervention utilizing absorbable suture polyglactin 2.0 achieved successful hemostasis, preventing potential severe complications such as postpartum endometritis and peritonitis. This case highlights the importance of vigilance and prompt intervention in managing unexpected obstetric complications during LSCS.

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