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Pelvic Fluid Collection Post Vaginal Delivery Treated with Ultrasonic Aspiration: A Case Report.

Authors: Renad Mutlaq Alhanaki; AMINA butt;

Pelvic Fluid Collection Post Vaginal Delivery Treated with Ultrasonic Aspiration: A Case Report.

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.

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Keywords

Pelvic fluid collection, fluid aspiration, Saudi Arabia

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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