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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 January-February;173(1-2):67-9
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
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.