Pelvic Fluid Collection Post Vaginal Delivery Treated with Ultrasonic Aspiration: A Case Report.
Journal Title: International Journal of Multidisciplinary Research and Analysis - Year 2022, Vol 5, Issue 08
Abstract
Background : Pelvic fluid collection can complicate a variety of abdominal surgeries and gynecological inflammations; nevertheless, it is considered a rare pathological consequence after normal vaginal delivery. It is characterized by a wall of thick fibrous tissue that delineate an area of pus and necrotic tissues. Case presentation : A 31-year-old Saudi female presented with lower abdominal pain and dysuria 7 days following normal vaginal delivery. Apart from mild lower abdominal tenderness; the physical examination has been otherwise clear. The work-up showed leukocytosis and a high CRP level. The mild pelvic collection was shown on abdominal ultrasonography and the CT scan of the abdomen revealed an enhanced wall pelvic fluid collection measure of about 13*3.3 cm. The patient received injectable antibiotics, and the fluid was aspirated initially, via a transvaginal route under ultrasound guidance. Days later, further fluid was aspirated with the placement of a catheter inside. Conclusion : Physicians and obstetricians should have a high rate of suspicion for diagnosing Pelvic fluid collection. Injectable antibiotics and fluid aspiration with or without catheter placement are the mainstays for treatment.
Authors and Affiliations
Renad Mutlaq Alhanaki,AMINA butt
Keywords
Related Articles
- EP ID EP708714
- DOI 10.47191/ijmra/v5-i8-30
- Views 44
- Downloads 0
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