Sengupta Dhar Rinku, Misra Renu
Department of Gynecology and Obstetrics, Sitaram Bhartia Institute of Science and Research, B-16, Qutab Institutional Area, New Delhi 110 016, India.
Case Rep Obstet Gynecol. 2012;2012:154685. doi: 10.1155/2012/154685. Epub 2012 Jun 7.
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.
剖宫产术后子宫伤口部分或完全裂开导致的继发性产后出血并不常见。本文作者介绍了一名剖宫产术后子宫裂开继发产后出血的患者。保守治疗未能控制出血，她最终需要进行子宫切除术。所有剖宫产术后发生严重产后出血的女性都应评估瘢痕是否存在任何缺陷。对于持续异常出血的女性，在剖宫产多年后诊断并修复了瘢痕裂开。因此，如果产后漏诊，这种情况可能会产生长期影响。
