Case report: Pelvic abscess after cesarean section and hysterectomy

Predstavitev primera: Pelvični absces kot zaplet carskega reza in histerektomije

  • Klavdija Krajnc University Medical Centre Maribor, University department of Gynecology and Perinatology
  • Iztok Takač University Medical Centre Maribor, University department of Gynecology and Perinatology; University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics
  • Faris Mujezinović University Medical Centre Maribor, University department of Gynecology and Perinatology; University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics
  • Matjaž Horvat University Medical Centre Maribor, University department of abdominal and general surgery
  • Lucija Kuder University Medical Centre Maribor, University department of Gynecology and Perinatology
Keywords: pelvic abscess, hysterectomy complication, cesarean section, postpartum bleeding

Abstract

Purpose: The purpose of this article was to present the case of a pelvic abscess, which developed after an emergency cesarean section followed by a hysterectomy, to identify the risk factors, and describe a minimally invasive technique for abscess drainage.

Case report: We present a 30-year-old patient at 35 + 4 weeks gestation who had an emergency cesarean section. The indication for the cesarean section were four previous cesarean sections. She had severe postpartum bleeding due to uterine atony and disseminated intravascular coagulopathy, which did not resolve with conservative treatment. A few days later, a pelvic abscess formed and complicated the post-operative recovery.

Conclusion: A pelvic abscess is a rare complication following obstetrics surgery; however, it is important to take

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Author Biographies

Klavdija Krajnc, University Medical Centre Maribor, University department of Gynecology and Perinatology

M.D., Maribor, Slovenia. E–mail: klavdija.krajnc@ukc-mb.si

Iztok Takač, University Medical Centre Maribor, University department of Gynecology and Perinatology; University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics

Maribor, Slovenia.

Faris Mujezinović, University Medical Centre Maribor, University department of Gynecology and Perinatology; University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics

Maribor, Slovenia.

Matjaž Horvat, University Medical Centre Maribor, University department of abdominal and general surgery

Maribor, Slovenia.

Lucija Kuder, University Medical Centre Maribor, University department of Gynecology and Perinatology

Maribor, Slovenia.

Published
2021-11-29
How to Cite
Krajnc K., Takač I., Mujezinović F., Horvat M., & Kuder L. (2021). Case report: Pelvic abscess after cesarean section and hysterectomy. Acta Medico-Biotechnica, 13(1), 69-72. https://doi.org/10.18690/actabiomed.198
Section
Articles