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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 578027, 3 pages
Case Report

Conservative Treatment of a Gossypiboma Causing Uterine Wound Dehiscence

Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, 34200 Istanbul, Turkey

Received 17 July 2013; Accepted 13 August 2013

Academic Editors: G. Capobianco, C. Ficicioglu, and C. S. Hsu

Copyright © 2013 Taner A. Usta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We present a rare case with gossypiboma following cesarean section which led to uterine wound dehiscence. A 30-year-old woman had been submitted to an emergency cesarean section 4 months previously at another hospital. Clinical and ultrasound findings revealed a large intra-abdominal mass and diffuse peritonitis. At laparotomy, a gossypiboma causing an abscess and uterine wound dehiscence with necrosis of the margins was detected. We performed repetitive wound debridements under broad-spectrum antibiotic cover and eventually resutured the incision. Although hysterectomy has so far been the choice of treatment in the literature once a uterine wound dehiscence had occurred, it was possible in this case to preserve the uterus.