Delayed uterine rupture occurred 4 weeks after cesarean section following sexual intercourse: a case report and literature review.
OBJECTIVE
Spontaneous delayed uterine rupture is life-threatening and extremely rare following sexual intercourse in postpartum. Here, we present a case of delayed uterine rupture that occurred 4 weeks after cesarean section following intercourse.


METHODS
A 31-year-old postpartum woman, gravida 4, para 1, abortion 3, underwent a cesarean section for prolonged labor. She was transferred to our hospital in shock status with brisk vaginal bleeding following intercourse 4 weeks after delivery. An emergency subtotal hysterectomy was performed to stop the bleeding. The pathology confirmed tissue necrosis and suture granuloma at the previous surgical wound.


CONCLUSIONS
The presented case demonstrated that delayed uterine rupture may occur even 4 weeks after delivery following intercourse, without any obvious abdominal pain or infection signs, which deserved the attention of obstetricians.
Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taiwan; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Hsing-Fen
HF
Tsai
Hsiang-Lin
HL
Song
Wen-Chung
WC
Chen
Chia-Ming
CM
Chang
Chiung-Hsin
CH
Chang
I-Wen
IW
Lee
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D003075:Coitus; D005260:Female; D006801:Humans; D007044:Hysterectomy; D006473:Postpartum Hemorrhage / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D013997:Time Factors; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery
cesarean section; delayed uterine rupture; postpartum hemorrhage