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Case Reports in Obstetrics and Gynecology
Volume 2012, Article ID 154685, 3 pages
http://dx.doi.org/10.1155/2012/154685
Case Report

Postpartum Uterine Wound Dehiscence Leading to Secondary PPH: Unusual Sequelae

Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India

Received 11 November 2011; Accepted 11 April 2012

Academic Editors: S. Z. A. Badawy, P. De Franciscis, and M. G. Porpora

Copyright © 2012 Rinku Sengupta Dhar and Renu Misra. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.