Post Caesarian Pelvic Abscess, A Rare Entity not to Miss

Authors

  • Deepa Chudal Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal
  • Sebak Shrestha Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal
  • Rojina Manandhar Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal
  • Sabita Singh Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal
  • Abhimanyu Shrestha Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal
  • Asha Singh Department of Obstetrics and Gynecology, Nepal Police Hospital, Kathmandu, Nepal

Keywords:

Caesarean section, Pelvic abscess, Puerperal pyrexia

Abstract

Post caesarean pelvic abscess is a rare complication   which may present without typical features of endometritis. It should remain as one of the differential diagnoses in any patient with refractory puerperal fever.  Despite the use of antibiotic   prophylaxis, it still can occur causing significant maternal morbidity requiring a complicated course of management with the need of an intensive care unit, drainage of pus under ultrasound guidance or sometimes may need surgical re-exploration or even hysterectomy. We report a case of pelvic abscess in a young   lady following caesarean section   who presented   with puerperal pyrexia. She did not respond to broad spectrum antibiotic treatment and underwent ultrasound-guided transabdominal drainage of the pelvic abscess following which she had rapid clinical improvement and good recovery.

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Published

2020-12-31

How to Cite

Chudal , D., Shrestha , S., Manandhar , R. ., Singh , S. ., Shrestha , A. ., & Singh , A. . (2020). Post Caesarian Pelvic Abscess, A Rare Entity not to Miss. Nepal Medical Journal, 3(2), 51–55. Retrieved from https://nmj.com.np/nmj/index.php/nmj/article/view/44

Issue

Section

CASE REPORT