Presentation
LSCS (lower segment cesarean section) 4 months ago. Complains of lower abdominal wall pain for 2 months. On examination - possibility of a deep-seated abscess.
Patient Data
A collection with mobile echoes and an irregular thick wall is noted in the subcutaneous fat of the infra-umbilical anterior abdominal wall, approximately 3 cm cranial to the LSCS scar.
cranio-caudal: 33 mm
transverse: 39 mm
anteroposterior: 15 mm
It is located in the midline and right paramedian position, abutting the anterior surface of the rectus.
A curved tract (3 mm) is observed from the collection, passing in the midline and going deep to the right rectus, for a length of about 20 mm.
No other anterior abdominal wall collection is noted.
Case Discussion
Findings suggest an anterior abdominal wall abscess.