scholarly journals Post Caesarean Section Deep Pelvic Abscess: CT Guided Transgluteal Drainage

Cureus ◽  
2022 ◽  
Author(s):  
Bharti Joshi ◽  
Maninder K Ghotra ◽  
Ujjwal Gorsi ◽  
Subhas Chandra Saha ◽  
Pooja Sikka
2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Nobuaki Mori ◽  
Aya Takigawa ◽  
Narito Kagawa ◽  
Tsuyoshi Kenri ◽  
Shinji Yoshida ◽  
...  

2021 ◽  
Vol 10 (13) ◽  
pp. 988-990
Author(s):  
Tanvi Desai ◽  
Muthulakshmi D ◽  
Vasanthalakshmi G.N. ◽  
Jaya Vijayaraghavan

A 30-year-old female, gravida-3, para–1, live–1, abortion–1, admitted in Sri Ramachandra Institute of Higher Education and Research (SRIHER) at 37 weeks and 6 days of gestation–planned for elective lower segment Caesarean section. Growth scan done at 37 weeks showed fetal growth restriction (estimated fetal weight-EFW at 3rd centile) with uterine artery Doppler showing high resistance flow. She had mild anaemia (haemoglobin 9g / dl), B negative blood group, indirect Coomb’s test was negative, and injection anti D was not given antenatally. She had an uneventful antenatal period. In 2013, at 23-years of age, she was referred to SRIHER with high grade fever and lower abdominal pain for one-week duration. She had history of dilatation and curettage done one week back for missed abortion. Pelvic ultrasound and computed tomography showed an adnexal mass with air pockets suggestive of a pelvic abscess. She was taken up for emergency laparoscopy which revealed a pelvic abscess walled off by omental and bowel adhesions along with perforation on the upper part of the posterior surface of uterus with extensive sloughing. In view of the nulliparous status of the patient conservative management was opted for and decision was taken to preserve the uterus under stepped up antibiotic cover. Thorough peritoneal wash was given, and intraperitoneal drain was kept. Patient was intensively monitored. Though she developed features of evolving sepsis prompt critical care management resulted in her steady recovery without undergoing hysterectomy.1 In 2018, (G2A1) patient was planned for elective lower segment Caesarean section (LSCS) at 37 weeks. However, she came to our institute at 33 weeks and 4 days of gestation in early labour. In view of history of previous septic abortion with uterine perforation, she delivered by emergency lower segment Caesarean section. Baby was a late preterm girl, weighing 1.9 Kg, cried immediately at birth. Placenta and membranes were delivered in toto. Intraoperative period was uneventful. Posterior wall of uterus did not show any signs of the previous perforation. Postoperative period was uneventful.


2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Koji Yamanoi ◽  
Koji Yasumoto ◽  
Jumpei Ogura ◽  
Takahiro Hirayama ◽  
Koh Suginami

Edwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified E. tarda in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient’s condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of E. tarda infection during the perinatal period. E. tarda infection can be a life-threatening illness even in immunocompetent patients. In the case of E. tarda infection, intensive care and surgical procedures should be considered.


2015 ◽  
Vol 2015 (apr23 1) ◽  
pp. bcr2014208628-bcr2014208628 ◽  
Author(s):  
D. A. Muin ◽  
M. T.-L. Takes ◽  
I. Hosli ◽  
O. Lapaire

2007 ◽  
Vol 30 (6) ◽  
pp. 1277-1279 ◽  
Author(s):  
Toshihiro Iguchi ◽  
Shinya Asami ◽  
Shinichiro Kubo ◽  
Hitoshi Kin ◽  
Kuniaki Katusi ◽  
...  

2018 ◽  
pp. bcr-2018-225252
Author(s):  
Michelle Herberts ◽  
Bradley Hicks ◽  
Muhammad Rizwan Sohail ◽  
Anil Jagtiani

A 70-year-old man with a history of hepatic cirrhosis presented with abdominal discomfort and distention. Physical examination revealed abdominal distention, positive fluid wave and abdominal tenderness. Due to concerns for spontaneous bacterial peritonitis (SBP), paracentesis was performed. Fluid analysis revealed 5371 total nucleated cells with 48% neutrophils. Ceftriaxone was then initiated for the treatment of SBP. Bacterial cultures of the fluid, however, grew Clostridium difficile. Therefore, metronidazole was added. An abdominal ultrasound revealed a pelvic fluid collection that was suspicious for an abscess on an abdominal CT scan. The patient underwent CT-guided drain placement into the pelvic fluid collection. The fluid aspirate was consistent with an abscess. However, cultures were negative in the setting of ongoing antibiotic therapy. The patient was treated with a 10-day course of ceftriaxone and metronidazole and was discharged home with outpatient follow-up.


2015 ◽  
Vol 75 (06) ◽  
Author(s):  
D Muin ◽  
N Ghaem Maghami ◽  
M Thanh-Long Takes ◽  
I Hösli ◽  
O Lapaire

2006 ◽  
Vol 10 (2) ◽  
pp. 99-105 ◽  
Author(s):  
R. Golfieri ◽  
A. Cappelli ◽  
E. Giampalma ◽  
F. Rizzello ◽  
P. Gionchetti ◽  
...  

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