The tip of the iceberg: Post caesarean wound dehiscence presenting as abdominal wound sepsis.
BACKGROUND
Uterine scar dehiscence can complicate caesarean section with complications like post partum hemorrhage, endomyometritis, localized/generalized peritonitis, and sepsis.


METHODS
Our patient had abdominal wound infection after LSCS surgery and features of sepsis. The wound infection was actually the presentation of a uterine scar dehiscence and localized peritonitis.


CONCLUSIONS
Incidence of uterine scar dehiscence is around 0.6%. Presentation can be post partum hemorrhage, endomyometritis, and generalized/localized peritonitis. Peritonitis caused by uterine incisional necrosis must be dealt surgically. A high index of suspicion with appropriate investigations can highlight such problems for early treatment and cure with least morbidity especially related to further pregnancies.


CONCLUSIONS
Uterine scar dehiscence with infection requires high index of suspicion as rare cause for post partum localized/generalized peritonitis with sepsis. Severe abdominal wound infection after caesarean section may be associated with uterine wound dehiscence, which poses a grave risk to the mother in a future pregnancy.
Consultant General and Laparoscopic Surgeon B.M. Hospitals, Nanganallur, Chennai, India; Assistant Professor in General Surgery, Sri Ramachandra Medical College and Hospital, Chennai, India. Electronic address: kaundinyakiran@gmail.com.
Kaundinya Kiran
KK
Bharatam
Assistant Professor in General Surgery, Sri Ramachandra Medical College and Hospital, Chennai, India.
P K
PK
Sivaraja
Senior Resident in General Surgery, Sri Ramachandra Medical College and Hospital, Chennai, India.
N J
NJ
Abineshwar
Consultant Obstetrician and Gynecologist B.M. Hospitals, Nanganallur, Chennai, India.
Vasundhara
V
Thiagarajan
Consultant Anesthesiologist B.M. Hospitals, Nanganallur, Chennai, India.
D A
DA
Thiagarajan
Consultant Obstetrician and Gynecologist B.M. Hospitals, Nanganallur, Chennai, India.
Sudeep
S
Bodduluri
Consultant Obstetrician and Gynecologist B.M. Hospitals, Nanganallur, Chennai, India.
K B
KB
Sriraman
Consultant Obstetrician and Gynecologist B.M. Hospitals, Nanganallur, Chennai, India.
A
A
Vasantha Ragavan
Consultant Obstetrician and Gynecologist B.M. Hospitals, Nanganallur, Chennai, India.
Shanmuga
S
Priya
Localized peritonitis; Sepsis; Staphylococcus aureus; Uterine scar dehiscence; Wound infection