Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2006
Postpartum uterine wound dehiscence: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Wagner Marie-Soleil, Bédard Marie-Josée
Аннотация
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.
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.