• Users Online: 292
  • Print this page
  • Email this page
Year : 2022  |  Volume : 55  |  Issue : 6  |  Page : 221-224

Vernix caseosa peritonitis following vaginal delivery: Cheesy peritonitis

1 Department of General Surgery, Hospital Sultan Ismail Petra, Kelantan, Malaysia
2 Department of Anaesthesia, Hospital Sultan Ismail Petra, Kelantan, Malaysia
3 Department of Pathology, Hospital Raja Perempuan Zainab 2, Kelantan, Malaysia

Correspondence Address:
Asri Che Jusoh
Department of General Surgery, Hospital Sultan Ismail Petra, Kuala Krai 18000 Kelantan
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fjs.fjs_53_22

Rights and Permissions

The incidence of the acute abdomen during early postpartum is not uncommon. In this report, we highlight an extremely rare cause of acute abdomen which posed significant diagnostic and management dilemmas. In this case, the patient presented at day 5 postvaginal delivery with progressive respiratory embarrassment, mild abdominal pain, and fever. Her clinical signs, blood and laboratory parameters, and imaging (ultrasound and computed tomography scan) were however nonspecific except for worsening ascites. Laparotomy was determined as the best procedure for her in view of her polymorphonuclear cell count from an abdominal paracentesis being very high and the absence of clinical improvement even with the best intensive care support. Vernix caseosa peritonitis (VCP) was finally diagnosed based on histological examination of the “cheesy” slough extracted intraoperatively. Our case illustrates the nonspecific features of VCP which may be potentially fatal if undiagnosed early and no definitive care is provided.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded48    
    Comments [Add]    

Recommend this journal