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Vernix caseosa peritonitis: report of two cases
Turk Patoloji Dergisi
|August 12, 2014
Summary
Vernix caseosa peritonitis is a rare post-cesarean complication. Diagnosis relies on clinical suspicion and characteristic histopathology of fetal cells in peritoneal exudates.
Area of Science:
- Obstetrics and Gynecology
- Surgical Pathology
Background:
- Vernix caseosa peritonitis is a rare inflammatory condition.
- It arises from amniotic fluid in the maternal peritoneal cavity, often post-cesarean section.
Observation:
- Two patients presented with acute abdomen 7-9 days after cesarean delivery.
- Laparotomy revealed cheesy exudates on visceral surfaces, without other surgical emergencies.
Findings:
- Histopathology showed acute fibrinous serositis and neutrophils surrounding fetal squamous cells.
- Complete recovery was observed in both patients following appendicectomy.
Implications:
- Suspect vernix caseosa peritonitis in post-cesarean patients with acute abdomen.
- Histopathology is key for diagnosis; vigilant monitoring for delayed morbidities is crucial.
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