Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2392-2398
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2392
Uterine incision dehiscence 3 mo after cesarean section causing massive bleeding: A case report
Yao Zhang, Ning-Ye Ma, Xiao-Ao Pang
Yao Zhang, Ning-Ye Ma, Xiao-Ao Pang, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: Zhang Y collected the patient’s clinical data and drafted the manuscript; Ma NY reviewed the literature; Pang XA contributed to analyzing and interpreting the imaging findings; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81202048.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yao Zhang, MD, Assistant Professor, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang 110001, Liaoning Province, China. zhangy7@sj-hospital.org
Received: January 9, 2020
Peer-review started: January 9, 2020
First decision: April 8, 2020
Revised: April 26, 2020
Accepted: May 19, 2020
Article in press: May 19, 2020
Published online: June 6, 2020
Processing time: 150 Days and 12.1 Hours
Core Tip

Core tip: The definition of late postpartum hemorrhage is a massive uterine hemorrhage from 24 h after delivery to the puerperal period. But in this case, massive vaginal bleeding because of cesarean section incision infection, ulcer, and poor healing, appeared at 3 mo after cesarean section, and this is at odds with the traditional concept. Since the bleeding was associated with cesarean delivery operation, we think that it should also be classified as late postpartum hemorrhage, and cause enough attention in clinic, because it is serious enough to endanger the patient's life.