Post Caesarian Pelvic Abscess, A Rare Entity not to Miss

Abstract

Post caesarean pelvic abscess is a rare complication which may present without typical features of endometritis. It should remain as one of the differential diagnoses in any patient with refractory puerperal fever. Despite the use of antibiotic prophylaxis, it still can occur causing significant maternal morbidity requiring a complicated course of management with the need of an intensive care unit, drainage of pus under ultrasound guidance or sometimes may need surgical re-exploration or even hysterectomy. We report a case of pelvic abscess in a young lady following caesarean section who presented with puerperal pyrexia. She did not respond to broad spectrum antibiotic treatment and underwent ultrasound-guided transabdominal drainage of the pelvic abscess following which she had rapid clinical improvement and good recovery.