Boukrid Meriem, Dubuisson Jean
Department of Gynecology-Obstetrics, University Hospital of Geneva , Geneva , Switzerland.
Front Surg. 2016 Feb 16;3:7. doi: 10.3389/fsurg.2016.00007. eCollection 2016.
Abscesses located in the cesarean-section (CS) induced isthmoceles are rarely encountered and are usually treated surgically, mostly by hysterectomy.
We here report the case of a 40-year-old primiparous woman presenting a symptomatic abscess in the isthmocele 10 years after a CS. She was treated by antibiotics and was closely monitored by clinical evaluation, ultrasonography, and pelvic magnetic resonance imaging. This treatment led to complete resolution of symptoms and a disappearance of the abscess at imagery.
Our report shows that a conservative medical management of isthmocele abscesses can be an effective approach in women wishing to preserve their uterus.
剖宫产术后峡部憩室引起的脓肿很少见,通常采用手术治疗,多数行子宫切除术。
我们在此报告一例40岁初产妇,剖宫产术后10年出现有症状的峡部憩室脓肿。她接受了抗生素治疗,并通过临床评估、超声检查和盆腔磁共振成像进行密切监测。这种治疗使症状完全缓解,影像学检查显示脓肿消失。
我们的报告表明,对于希望保留子宫的女性,对峡部憩室脓肿进行保守药物治疗可能是一种有效的方法。