Postpartum uterine wound dehiscence: a case report.
BACKGROUND
Late postpartum hemorrhage following a Caesarean section (CS) is uncommon. A partial or complete dehiscence of the lower segment CS incision is a rare but possible cause.


METHODS
A 33-year-old woman underwent a lower segment CS for chorioamnionitis and failure to progress in labour at 40 weeks and 5 days of gestation. On the 43rd postpartum day, she developed heavy vaginal bleeding. Emergency laparotomy revealed a complete dehiscence of the lower uterine segment incision. A subtotal hysterectomy was performed to control the bleeding, and the postoperative course was uneventful.


CONCLUSIONS
Dehiscence of a lower uterine segment incision is a rare but potentially dangerous cause of late postpartum hemorrhage.
Wagner
Marie-Soleil
MS
Department of Obstetrics and Gynecology, University of Montréal, Montréal, Québec.
Bédard
Marie-Josée
MJ
Department of Obstetrics and Gynecology, University of Montréal, Montréal, Québec.
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy; D006473:Postpartum Hemorrhage / Q000209:etiology*; D011247:Pregnancy; D013529:Surgical Wound Dehiscence / Q000150:complications*; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000209:etiology*