Puerperal sepsis with uterine scar dehiscence after cesarean section: A rare complication

Abstract

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.