Delayed postpartum uterine dehiscence. A case report.
BACKGROUND
Delayed postpartum uterine dehiscence with hemorrhagic shock may be caused by inadequate treatment of postpartum endomyometritis.


METHODS
A woman developed a delayed uterine dehiscence six weeks postpartum. Inadequate antibiotic treatment for postpartum endomyometritis was thought to be the etiology. The patient required a hysterectomy for definitive treatment because of associated hemorrhagic shock.


CONCLUSIONS
Only one other case of uterine dehiscence that resulted from endomyometritis has been reported. Broad-spectrum antibiotic therapy is indicated in postpartum endomyometritis to avoid uterine dehiscence with hemorrhagic shock.
St. Vincent Medical Center, Toledo, Ohio 43618, USA. jerry.kindig@sylvania.sev.org
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Cardwell
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D000328:Adult; D002585:Cesarean Section; D004716:Endometritis / Q000150:complications / Q000188:drug therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology*; D049590:Postpartum Period; D011247:Pregnancy; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000473:pathology*; D014597:Uterine Rupture / Q000209:etiology / Q000473:pathology*; D014599:Uterus / Q000098:blood supply / Q000473:pathology