Delayed presentation of vernix caseosa peritonitis |
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Authors: | AC Chambers AV Patil R Alves JC Hopkins J Armstrong RN Lawrence |
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Institution: | Great Western Hospitals NHS Foundation Trust,, UK |
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Abstract: | INTRODUCTIONVernix caseosa peritonitis (VCP) is a rare and poorly recognised condition resulting from a sustained foreign body reaction to the vernix caseosa of the baby. This case-based review aims to highlight its importance for any medical team managing patients with peritonitis who have undergone a recent Caesarean section.CASE REPORTA 31-year-old woman presented 5 weeks after a Caesarean section with symptoms and signs of peritonitis.CONCLUSIONSLaparotomy and peritoneal lavage is the mainstay of treatment for VCP. Knowledge of the condition may stop inadvertent resection of normal intra-abdominal organs. Greater awareness of VCP is required to ensure earlier recognition as patients can recover well following timely operative intervention. |
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Keywords: | Vernix caseosa peritonitis Caesarean section Laparotomy |
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