{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:19:22Z","timestamp":1790799562216,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["8170060753"],"award-info":[{"award-number":["8170060753"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Postpartum uterine necrosis is a rare and serious complication. The uterine tissue becomes devascularized and then causes endometrial necrosis and even myometrial necrosis, usually combing with uterine infection. To clear the infection, hysterectomy was performed in the majority of uterine necrosis cases. We reported a case of a 26\u2010year\u2010old patient underwent a cesarean section after failure induction of labor with the full dilatation of cervix. The B\u2010Lynch compression suture was performed to avoid persistent haemorrhage. The patient presented with recurrent fever, abdominal pain and vaginal discharge. The computed tomography scan revealed uterine empyema and uterine perforation of the anterior wall. The broad spectrum antibiotics were given to treat with infection. An irregularly shaped prolapse from the vagina was noted on the fifty\u2010fourth day postpartum. Transvaginal debridement was performed and necrotizing tissues weighted about 100\u2009g was removed. The pathological findings revealed degeneration and necrosis of the uterine muscle and fibrinoid exudation. Postpartum uterine necrosis is a rare condition that can lead to life\u2010threatening complications and the most treatment option is the surgery of hysterectomy. As cases of partial uterine necrosis with symptom of endometrial prolapse, treated with direct appropriate antibiotic therapy, removing the necrotizing tissue that reserved the uterine may be a selective option.<\/jats:p>","DOI":"10.1002\/ijgo.70105","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T04:06:57Z","timestamp":1742875617000},"page":"1419-1423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum uterine necrosis with spontaneous endometrial prolapse after B\u2010Lynch suture: A case report"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0572-4331","authenticated-orcid":false,"given":"Li","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pathology, Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Lianyungang Maternal and Child Health Hospital  Lianyungang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-1797","authenticated-orcid":false,"given":"Yimin","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1692718"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.07.975"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00890.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.01.047"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03089-w"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005556"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.07.016"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/2859766"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T14:31:07Z","timestamp":1757082667000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/ijgo.70105"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70105","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,24]]},"assertion":[{"value":"2024-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}