Delayed presentation of vernix caseosa peritonitis

Ann R Coll Surg Engl. 2012 Nov;94(8):548-51. doi: 10.1308/003588412X13373405385296.

Abstract

Introduction: Vernix 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 report: A 31-year-old woman presented 5 weeks after a Caesarean section with symptoms and signs of peritonitis.

Conclusions: Laparotomy 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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section*
  • Delayed Diagnosis
  • Female
  • Humans
  • Peritonitis / diagnosis
  • Peritonitis / etiology*
  • Peritonitis / surgery
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Second-Look Surgery
  • Vernix Caseosa*