Authors : Ahmed Samy El-Agwany
Abstract: Late postpartum hemorrhage and vaginal purulent discharge following a Caesarean Section (CS) is uncommon. A partial or complete dehiscence of the lower segment CS incision is a rare but possible cause. A 35 years old woman underwent a lower segment CS for primary infertility, triplet pregnancy and premature rupture of membranes at 34 weeks of gestation. On the 5th postpartum day, she developed vaginal bleeding that was inadequately managed and the patient developed purulent vaginal discharge on the 15th day postpartum. Emergency laparotomy revealed a complete dehiscence of the lower uterine segment incision. A subtotal hysterectomy was performed to and the postoperative course was uneventful.
Ahmed Samy El-Agwany , 2014. Postpartum Uterine Caesarean Incision Necrosis and Pelvic Abscess Managed by Hysterectomy: A Complication of Puerperal Endomyometritis. Research Journal of Medical Sciences, 8: 53-55.