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Delayed postpartum uterine dehiscence. A case report
1St. Vincent Medical Center, Toledo, Ohio 43618, USA. jerry.kindig@sylvania.sev.org
The Journal of Reproductive Medicine
|August 7, 1998
Background:
Delayed postpartum uterine dehiscence with hemorrhagic shock may be caused by inadequate treatment of postpartum endomyometritis.
Case:
A woman developed a delayed uterine dehiscence six weeks postpartum. Inadequate antibiotic treatment for postpartum endomyometritis was thought to be the etiology. The patient required a hysterectomy for definitive treatment because of associated hemorrhagic shock.
Conclusion:
Only one other case of uterine dehiscence that resulted from endomyometritis has been reported. Broad-spectrum antibiotic therapy is indicated in postpartum endomyometritis to avoid uterine dehiscence with hemorrhagic shock.