A Rare Case of Secondary Postpartum Hemorrhage Due to Intrauterine Hematoma and Uterine Scar Dehiscence

Cesarean section is one of the most frequently performed obstetric procedures worldwide. Although secondary postpartum hemorrhage (PPH) after cesarean section is uncommon, it remains a potentially life-threatening condition and a significant cause of maternal morbidity, even in regions with low maternal mortality. Secondary PPH typically occurs between 24 hours and 12 weeks postpartum. Uterine scar dehiscence is a rare but important cause of secondary PPH, often posing diagnostic and therapeutic challenges. We present a case of a 29-year-old female who developed secondary PPH 60 days after an uncomplicated lower-segment cesarean section.

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Publication Details

Journal
Cureus
Published
2026-04-25
DOI
https://doi.org/10.7759/cureus.107703
Primary Topic
Maternal and fetal healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

A Rare Case of Secondary Postpartum Hemorrhage Due to Intrauterine Hematoma and Uterine Scar Dehiscence

Kanchan Samir Dwidmuthe, Savita Somalwar, Anuja Bhalerao, Parth Dhande
Cureus
Maternal and fetal healthcare
article

A Rare Case of Secondary Postpartum Hemorrhage Due to Intrauterine Hematoma and Uterine Scar Dehiscence

Kanchan Samir Dwidmuthe, Savita Somalwar, Anuja Bhalerao, Parth Dhande
article en

Abstract

Cesarean section is one of the most frequently performed obstetric procedures worldwide. Although secondary postpartum hemorrhage (PPH) after cesarean section is uncommon, it remains a potentially life-threatening condition and a significant cause of maternal morbidity, even in regions with low maternal mortality. Secondary PPH typically occurs between 24 hours and 12 weeks postpartum. Uterine scar dehiscence is a rare but important cause of secondary PPH, often posing diagnostic and therapeutic challenges. We present a case of a 29-year-old female who developed secondary PPH 60 days after an uncomplicated lower-segment cesarean section.

Cureus
Zero hunger
Openalex Percentile: Top 12%
Maternal and fetal healthcare
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