An unusual case of anasarca as a consequence of post lscs uterine scar dehiscence

Introduction: Anasarca, or generalized edema, occurs due to fluid accumulation in body tissues and is often associated with systemic conditions. Uterine scar dehiscence, a rare complication of cesarean section, typically presents with abdominal pain or bleeding, but cases with anasarca are extremely rare. This report aims to highlight an unusual presentation of uterine scar dehiscence manifesting as anasarca. Case Report: A 21-year-old woman, 20 days postpartum after a lower segment cesarean section (LSCS) and tubectomy, was admitted with abdominal distension, bilateral lower limb swelling, and shortness of breath. Physical examination revealed generalized edema. Initial diagnostic workup considered postpartum cardiomyopathy, which was later ruled out via echocardiography. Imaging studies identified free fluid in the abdomen and thorax, and a CT scan confirmed uterine scar dehiscence with peritonitis. Management included diuretics, antibiotics, and subsequent surgical repair. The patient showed significant improvement and remained stable at follow-up. Conclusion: This case underscores the importance of considering uterine scar dehiscence in postpartum patients with unexplained edema. Timely diagnosis and intervention are crucial, as uncommon presentations like anasarca may complicate the clinical picture. Clinicians should be vigilant in assessing postpartum patients with generalized edema to ensure prompt and effective treatment.