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Nihon Hinyokika Gakkai Zasshi ; 102(5): 705-8, 2011 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-22191281

RESUMO

A 21-year-old female patient underwent emergency cesarean section and a postoperative hematoma occurred at the site of the uterine incision. The patient underwent laparotomy for hemostasis. An 3 cm perforation at the posterior wall of the bladder was identified. The bladder was repaired in two layers with an absorbable suture. Three days later she developed a fever of over 38 degrees C. Despite therapy with several antimicrobial agents, her fever persisted and the wound was opened. Computed tomography scan revealed an abscess at the site where the hematoma had formed. We present a case of severe wound infection that was caused by Mycoplasma hominis infection after cesarean section. Bladder perforation associated with cesarean section is uncommon. Mycoplasma hominis should be considered as a causative organism if an antimicrobial resistant infection occurs at the surgical site after a cesarean section.


Assuntos
Abscesso/etiologia , Cesárea/efeitos adversos , Infecções por Mycoplasma/etiologia , Mycoplasma hominis , Doenças da Bexiga Urinária/etiologia , Bexiga Urinária/lesões , Adulto , Feminino , Humanos , Doença Iatrogênica , Complicações Pós-Operatórias , Gravidez
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