Uterine suture dehiscence with endometritis and abscess formation

Case contributed by Dr Ammar Haouimi

Presentation

Had cesarean section 1 week ago, presented with fever, abdominal pain, and swelling of the pelvic wall.

Patient Data

Age: 25 years
Gender: Female

There is a large pre-uterine intraperitoneal collection with an air-fluid level, extending to the pelvic wall. Enlarged uterus with mixed air-and fluid-filled collection within the uterine cavity in continuity with the pre-uterine collection through a defect of the anterior uterine wall at the incision site in keeping with dehiscence of the lower segment cesarean section incision.

Case Discussion

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

Additional contributor: A Ramdani, MD

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