{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:58:25Z","timestamp":1773658705401,"version":"3.50.1"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Secondary postpartum hemorrhage is rare. The most common cause is retained placenta. Having a uterine scar dehiscence as an etiology is unusual. Complete dehiscence of the uterine scar is even rarer. This rare but serious cause of post-partum haemorrhage can be potentially life threatening due to severe hemorrhage if not managed in adequate time.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case:<\/jats:title>\n We present the case of a 35-year-old patient, gravida 2 para 2. She had undergone two caesarean sections in our department and, after the last one in March 2021, she presented twice to our emergency department with relatively abundant metrorrhagia, but neither the clinical nor the radiological examinations revealed any abnormalities. At 43 days postpartum, she presented to the emergency with severe bleeding per vaginum. The bleeding was profuse, causing hemodynamic instability and severe acute anaemia. An explorative laparotomy was necessary to diagnose the etiology and manage the treatment. Surgical exploration revealed a lateral uterine rupture in the broad ligament and complete dislocation of the caesarean scar. An urgent hysterectomy was performed.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Partial or complete dehiscence of the hysterorrhoea is a rare cause of secondary postpartum hemorrhage after caesarean section. When hysterorrhaphy dehiscence does occur, the origin of the bleeding is likely to be related to erosion of the vessels at the incision angles.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The diagnosis of partial or complete dehiscence of the uterine scar may be misleading in the absence of specific clinical or radiological signs. This condition must therefore be considered and suspected in cases of secondary postpartum hemorrhage.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.108883","type":"journal-article","created":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T01:02:48Z","timestamp":1696122168000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Secondary postpartum hemorrhage due to uterine scar dehiscence, a case report"],"prefix":"10.1097","volume":"112","author":[{"given":"Fathi","family":"Mraihi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihene","family":"Basly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani","family":"Mezni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeineb","family":"Ghali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montasar","family":"Hafsi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalenda","family":"Chelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-4-20260316","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s13224-021-01493-y","article-title":"Uterine scar dehiscence: a rare cause of life-threatening delayed secondary postpartum hemorrhage\u2014a case report and literature review","volume":"71","author":"Thakur,","year":"2021","journal-title":"J. Obstet. Gynaecol. India"},{"key":"R3-4-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"},{"key":"R4-4-20260316","first-page":"154685","article-title":"Postpartum uterine wound dehiscence leading to secondary PPH: unusual sequelae","volume":"2012","author":"Sengupta Dhar,","year":"2012","journal-title":"Case Rep. Obstet. Gynecol"},{"key":"R5-4-20260316","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/AOG.0000000000004228","article-title":"Risk factors for atonic postpartum hemorrhage","volume":"137","author":"Ende,","year":"2021","journal-title":"Obstet. Gynecol"},{"key":"R7-4-20260316","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.ijscr.2015.02.013","article-title":"The tip of the iceberg: post caesarean wound dehiscence presenting as abdominal wound sepsis","volume":"9","author":"Bharatam,","year":"2015","journal-title":"Int. J. Surg. Case Rep"},{"key":"R8-4-20260316","first-page":"154685","article-title":"Postpartum uterine wound dehiscence leading to secondary PPH: unusual sequelae","volume":"2012","author":"Sengupta Dhar,","year":"2012","journal-title":"Case Rep. Obstet. Gynecol"},{"key":"R10-4-20260316","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4293\/108680812X13517013317996","article-title":"Robotic repair of uterine dehiscence","volume":"17","author":"La Rosa,","year":"2013","journal-title":"JSLS"},{"key":"R11-4-20260316","doi-asserted-by":"crossref","first-page":"2534","DOI":"10.18203\/2320-1770.ijrcog20212212","article-title":"Successful management of secondary postpartum haemorrhage due to post caesarean wound dehiscence with uterine artery embolisation","volume":"10","author":"Kumari,","year":"2021","journal-title":"Int. J. Reprod. Contracept. Obstet. Gynecol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122301012X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122301012X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:00:36Z","timestamp":1773655236000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.108883","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}