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Uterine suture dehiscence and abscess formation

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

History of cesarean section 5 days ago, presented with fever, abdominal pain, malodors lochia.

Patient Data

Age: 30 years
Gender: Female

Large 7*11*16 cm large pre-uterine intraperitoneal collection with an air-fluid level, extending the lower abdominal cavity

Enlarged uterus with mixed air and fluid-filled collection within the uterine cavity in continuity with the pre-uterine and lower abdominal collection through a defect of the anterior lower uterine wall at the incision site.

Case Discussion

CT features are in keeping with a large pre-uterine intraperitoneal air-fluid collection complicating dehiscence of the lower segment cesarean section incision.

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