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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 January-February;173(1-2):67-9

language: English

Subphrenic abscess after caesarean section. A case report

Riel A., Rakotomavo F., Rasamoelina R., Raveloson N.

Department of Anaesthesiology and Critical Care, University Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar


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Subphrenic abscess after caesarean section is rare. We report the case of a 27-year-old patient who underwent caesarean section for foetal distress. Seven days after the operation, she was re-admitted for abdominal pain, dyspnoea and fever. Abdominal ultrasound revealed left subphrenic abscess. Broad-spectrum antimicrobial therapy and surgical drainage by laparotomy permitted the resolution of the abscess. Escherichia coli were identified in the culture of purulent fluid. Although it is rare, subphrenic abscess should be suspected when the patient presents signs of intra-abdominal infection after caesarean section.

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