Abstract
Background:
A review of the literature indicates that a posterior hysterotomy is rarely performed, but when it is done, it is usually performed in cases of uterine torsion.
Case:
A patient in her early 30s, gravida 8, para 0070, underwent a cesarean delivery at 24 weeks and 2 days for malpresentation of her fetus, preterm premature rupture of her membranes, and a category 3 fetal heart tracing, which necessitated a posterior uterine classical hysterotomy; this situation was secondary to the presence of large anterior leiomyomas.
Results:
The rest of the surgery was uncomplicated. The total estimated blood loss (EBL) was 800 cc. This patient had an uncomplicated postoperative course and was discharged to go home on postoperative day (POD) 3. At the time of this writing the neonate remained in the neonatal intensive care unit, and was currently at POD 64.
Conclusions:
This case report highlights that a posterior hysterotomy for delivery of a preterm fetus was feasible, and was completed without complications.
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