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.