Rapid Superficial Dehiscence After Cesarean Delivery in the Setting of Maternal Inflammation and Trauma: A Case Report

Background and Clinical Significance: Superficial postoperative wound dehiscence after cesarean delivery is insufficiently described in the literature, and evidence guiding management in high-risk patients remains limited. Case Presentation: We report a case of superficial wound dehiscence in a patient who underwent cesarean delivery following a motor vehicle accident with non-reassuring fetal heart tones and placental abruption. Her medical history included Hepatitis C infection, methadone dependence, endocarditis, and a prior episode of rapid wound dehiscence after laparoscopic surgery incisions closed with absorbable suture. Conclusions: Although many studies demonstrate no significant difference in dehiscence rates across closure methods, including suture, metal staples, and absorbable staples, clinicians should recognize that underlying medical conditions associated with inflammation or a history of prior wound dehiscence may increase the risk of complications when absorbable suture or absorbable staples are used. Careful assessment of patient-specific risk factors may help guide optimal closure technique in high-risk obstetric populations.