Cervical abscess with vaginal fistula after extraperitoneal cesarean section
Journal
Journal of the Formosan Medical Association
Journal Volume
106
Journal Issue
12
Pages
1048-1051
Date Issued
2007
Author(s)
Abstract
Extraperitoneal cesarean section was once used for the prevention of infection and postoperative adhesion. However, we report an unusual complication after this procedure. A 29-year-old woman had pus discharge from the anterior vaginal wall after extraperitoneal cesarean section. Broad-spectrum antibiotics failed to relieve her symptoms and vaginal culture yielded Morganella morganii. Magnetic resonance imaging, sagittal view, showed a cervical abscess measuring 5 × 5 cm with a tract extending to the anterior vagina. After performing dilation and abscess drainage via the cervical ostium, the symptoms gradually subsided with adequate antibiotic treatment. Cervical abscess may develop after extraperitoneal cesarean section and present initially as vaginal fistula. Detailed imaging study provides comprehensive anatomic information for effective management. ? 2007 Elsevier & Formosan Medical Association.
SDGs
Other Subjects
ampicillin; cefazolin; cefmetazole; clindamycin; gentamicin; metronidazole; abscess; abscess drainage; adult; antibiotic resistance; antibiotic sensitivity; antibiotic therapy; article; bacterium culture; case report; cesarean section; contrast enhancement; drug treatment failure; female; human; image analysis; Morganella morganii; nuclear magnetic resonance imaging; pus; uterine cervix dilatation; uterine cervix disease; vagina discharge; vagina disease; vagina smear
Publisher
Scientific Communications International Ltd
Type
journal article