چكيده لاتين :
Uterinecavity occlusion following caesarean section for central place nta praevia culminating in haematometra and
thereby amenorrhoea is one of the rarest long term complications of lower segment caesarean section. We report a case of 28 year
old primigr avid a with Grade 4 place nta praevia who underwent elective caesarean section at 35 weeks gestation. She presented at
Nizwa Hospital, Sulta nate of Oman, after 7 months with cyclical lower abdominal pain and amenorrhoea. She was treated by hysterosco
picadhesiolysis and an inutero Foleyיs catheter. She had complete resolution of her condition with in 2 months and resumption of
menstrual cycles. Multiple haemostatic sutures at caesarean section for placenta praeviacan be an causative factor for such a complication
along with other risk factors like multiple caesa reansections, chori oamniotis etc. Recognition of these factors, meticulous
surgical technique and appropriate postop erative care can effectively pr event it.
