Introduction:
The incidence of cesarean section (CS) operation is increasing in all
countries especially in developing countries as the most common in
obstetrics surgery[1]. Due to the CS operation,
late scar dehiscence may occur in some women and may lead to uterine
rupture in future pregnancies[1, 2]. Partial or
complete Uterine Dehiscence (UD) following endomyometritis (puerperal
sepsis) is a rare complication of lower segment cesarean section (LSCS)
delivery[3]. This rare occurrence is very
dangerous and potentially life threatening complication of CS with
limited literature[4, 5].
Preterm delivery, tertiary cesarean delivery or higher and short
inter-delivery interval of lower 24 months are the most important cases
of UD. [2] Moreover, heavy vaginal postpartum
hemorrhage(PPH), abdominal pain and pelvic pain as early as 11 days to
as late as 12 weeks after surgery are the most common symptoms of UD in
other reported cases.[6, 7]
Brucellosis is a threatening infection in pregnant women with severe
obstetrics outcomes such as spontaneous abortion, premature delivery,
intrauterine infection [8-10]We experienced a case
with continuing high fever due to uterine fascial dehiscence after
preterm delivery by CS, three days after the operation without any PPH,
but who were infected to brucellosis.