Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae
- PMID: 22720176
- PMCID: PMC3376497
- DOI: 10.1155/2012/154685
Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae
Abstract
Secondary postpartum haemorrhage due to partial or complete dehiscence of uterine wound after caesarean section is unusual. Authors present here a patient with secondary postpartum haemorrhage following uterine dehiscence after caesarean delivery. Conservative management failed to control the bleeding, and she eventually needed hysterectomy. All women who have significant PPH following caesarean should undergo evaluation for any defect in the scar. Scar dehiscence has been diagnosed and repaired after many years of caesarean section in women with persistent abnormal bleeding. Therefore, this condition may have long-term implication if missed postpartum.
References
-
- Wagner MS, Bédard MJ. Postpartum uterine wound dehiscence: a case report. Journal of Obstetrics and Gynaecology Canada. 2006;28(8):713–715. - PubMed
-
- Baba T, Morishita M, Nagata M, Yamakawa Y, Mizunuma M. Delayed postpartum hemorrhage due to cesarean scar dehiscence. Archives of Gynecology and Obstetrics. 2005;272(1):82–83. - PubMed
-
- Rivlin ME, Carroll CS, Morrison JC. Infectious necrosis with dehiscence of the uterine repair complicating cesarean delivery: a review. Obstetrical and Gynecological Survey. 2004;59(12):833–837. - PubMed
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