Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 4S2 ( October-December, 2018 ) > List of Articles


Puerperal Sepsis with Uterine Scar Dehiscence after Cesarean Section: A Rare Complication

Rachana Agrawal, Garima Goel

Keywords : Dehiscence, Pelvic hematoma, Puerperal sepsis, Uterine scar

Citation Information : Agrawal R, Goel G. Puerperal Sepsis with Uterine Scar Dehiscence after Cesarean Section: A Rare Complication. J South Asian Feder Obs Gynae 2018; 10 (4S2):435-437.

DOI: 10.5005/jp-journals-10006-1640

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


There has been an increase in the rate of cesarean section performed worldwide recently with a parallel increase in associated complications. Uterine wound dehiscence and pelvic hematoma with abscess collection is a very rare complication of cesarean section. Frequency of uterine dehiscence is between 0.06% and 3.8 %.1 Postoperative pyrexia may result from various causes, pelvic abscess being a very rare one, occurring in <1% of patients with postcesarean endometritis.2 If uterine dehiscence leads to severe infection, laparotomy should be performed.3-5 During laparotomy, conservative resuturing after debridement can be chosen, but in the presence of marked wound infection, endometriosis and/or intra-abdominal abscess, hysterectomy should be considered. A high index of suspicion with appropriate investigations can highlight such problems for early treatment and cure with the least morbidity and mortality.

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