Secondary Amenorrhoea and Haematometria Following Emergency Caesarean Section
AbstractObjective: To call attention to a rare cause of curable haematometria and secondary amenorrhoea.
Case Report: A 28 year old primaparous patient developed cyclic abdominal pains and secondary amenorrhoea 9 months after an emergency Caesarean section for prolonged obstructed labour.
Examination revealed that the os cervix was covered by a thick avascular membrane with a bluish apex.
Sonography confirmed haematometria.
Incision of the membrane was curative and restored normal menstrual flow.
Conclusion: The haematometria and resultant secondary amenorrhoea followed puerperal sepsis. The causative inflammatory membrane was at the os cervix and, as there were no intrauterine adhesions, incising the membrane was curative.
Key Words: Secondary Amenorrhoea, Haematometria, Caesarean Section
Orient Journal of Medicine Vol.16(1) 2004: 21-22