Radiologic Insights into Post-Cesarean Uterine Scar Dehiscence: A Critical Postpartum Complication

Uterine scar dehiscence may complicate cesarean sections, potentially leading to severe complications such as postpartum hemorrhage, endomyometritis, localized or generalized peritonitis, and sepsis. We report the case of a 20-year-old woman with an abdominal wound infection following a lower segment cesarean section (LSCS) and exhibited clinical signs of sepsis. This wound infection was, in fact, a manifestation of uterine scar dehiscence coupled with localized peritonitis. The incidence of uterine scar dehiscence is approximately 0.6%. Peritonitis resulting from necrosis at the uterine incision requires prompt surgical intervention. A high degree of clinical suspicion, supported by targeted diagnostic investigations, is essential for early detection and management, thereby reducing morbidity—especially in relation to future pregnancies. Uterine scar dehiscence accompanied by infection necessitates a heightened level of clinical suspicion, as it is a rare but significant cause of postpartum peritonitis with sepsis. A severe abdominal wound infection following a cesarean section may be associated with uterine wound dehiscence, posing a considerable risk to maternal health in subsequent pregnancies.