Abstract

FIGURE 2 Computed tomography scan of pelvis: transverse view Case notes A 32-year-old G2P1 with a history of cesarean delivery had an uncomplicated vaginal delivery at term. Two days after giving birth, she developed high-grade fever, tachycardia, hypotension, lower abdominal pain, and right flank pain. Computed tomography (CT) scan at that time revealed bladder wall thickening and a small amount of pelvic free fluid. She was started on broad-spectrum antibiotics for suspected pyelonephritis and sepsis. However, urine cultures were

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