Delayed uterine rupture occurred 4 weeks after cesarean section following sexual intercourse: A case report and literature review

Objective: Spontaneous delayed uterine rupture is life-threatening and extremely rare following sexual intercourse in postpartum. Here, we present a case of delayed uterine rupture that occurred 4 weeks after cesarean section following intercourse. Case report: A 31-year-old postpartum woman, gravid...

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Main Authors: Hsing-Fen Tsai (Author), Hsiang-Lin Song (Author), Wen-Chung Chen (Author), Chia-Ming Chang (Author), Chiung-Hsin Chang (Author), I-Wen Lee (Author)
Format: Book
Published: Elsevier, 2013-09-01T00:00:00Z.
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Summary:Objective: Spontaneous delayed uterine rupture is life-threatening and extremely rare following sexual intercourse in postpartum. Here, we present a case of delayed uterine rupture that occurred 4 weeks after cesarean section following intercourse. Case report: A 31-year-old postpartum woman, gravida 4, para 1, abortion 3, underwent a cesarean section for prolonged labor. She was transferred to our hospital in shock status with brisk vaginal bleeding following intercourse 4 weeks after delivery. An emergency subtotal hysterectomy was performed to stop the bleeding. The pathology confirmed tissue necrosis and suture granuloma at the previous surgical wound. Conclusion: The presented case demonstrated that delayed uterine rupture may occur even 4 weeks after delivery following intercourse, without any obvious abdominal pain or infection signs, which deserved the attention of obstetricians.
Item Description:1028-4559
10.1016/j.tjog.2012.04.041