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Delayed uterine rupture occurred 4 weeks after cesarean section following sexual intercourse: A case report and literature review
Authors:Hsing-Fen Tsai  Hsiang-Lin Song  Wen-Chung Chen  Chia-Ming Chang  Chiung-Hsin Chang  I-Wen Lee
Affiliation:1. Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, Tainan, Taiwan;2. College of Medicine, National Cheng Kung University, Tainan, Taiwan;3. Department of Pathology, National Cheng Kung University Hospital, Tainan, Taiwan;4. Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan;5. Institute of Biotechnology, National Cheng Kung University, Tainan, Taiwan
Abstract:ObjectiveSpontaneous 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 reportA 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.ConclusionThe 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.
Keywords:cesarean section  delayed uterine rupture  postpartum hemorrhage
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