INTRODUCTION: 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. CASE: 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. CONCLUSION: Dehiscence of a lower uterine segment incision is a rare but potentially dangerous cause of late postpartum hemorrhage.
INTRODUCTION: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. CASE: 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. CONCLUSION: Dehiscence of a lower uterine segment incision is a rare but potentially dangerous cause of late postpartum hemorrhage.
Authors: Billy Ming Hei Lai; John Sing Fai Shum; Chi Yeung Chu; Sherwin Shing Wai Lo; Kam Ying Lau Journal: Singapore Med J Date: 2016-04-19 Impact factor: 1.858
Authors: Kaundinya Kiran Bharatam; P K Sivaraja; N J Abineshwar; Vasundhara Thiagarajan; D A Thiagarajan; Sudeep Bodduluri; K B Sriraman; A Vasantha Ragavan; Shanmuga Priya Journal: Int J Surg Case Rep Date: 2015-02-11