CT-guided drainage with percutaneous approach as treatment of E. Faecalis post caesarean section severe abscess: case report and literature review

G Chir. 2019 Jul-Aug;40(4):368-372.

Abstract

We report a case of a 32-year old woman with severe pelvic abscess formation who was readmitted to the hospital after ten days of postoperative caesarean course. The patient had undergone emergency caesarean section (CS) for acute foetal sufferance during expulsive period and following three days had been discharged regularly. Enterococcus Faecalis was isolated from purulent material. A prompt antibiotic therapy was carried out, therefore clinic condition did not improve. A percutaneous Computed Tomography (CT)-guided drainage of the abscess was planned. Under local anesthesia abscess was drained. The hospitalization stay allowed monitoring the patient's clinical condition and laboratory blood panel until normalization of all parameters.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Abscess / diagnostic imaging
  • Abdominal Abscess / microbiology
  • Abdominal Abscess / therapy*
  • Adult
  • Cesarean Section / adverse effects*
  • Drainage / methods*
  • Enterococcus faecalis*
  • Female
  • Gram-Positive Bacterial Infections / diagnostic imaging
  • Gram-Positive Bacterial Infections / microbiology
  • Gram-Positive Bacterial Infections / therapy*
  • Humans
  • Pelvis
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / microbiology
  • Postoperative Complications / therapy*
  • Pregnancy
  • Radiography, Interventional / methods
  • Tomography, X-Ray Computed / methods