Yamanoi Koji, Yasumoto Koji, Ogura Jumpei, Hirayama Takahiro, Suginami Koh
Department of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, Japan.
Department of Dermatology, Cutaneous Biology Research Center, Massachusetts General Hospital, Boston, MA, USA.
Case Rep Infect Dis. 2018 May 22;2018:4970854. doi: 10.1155/2018/4970854. eCollection 2018.
() infections are rare and can be fatal. We report a case of an abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient's condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of infection during the perinatal period. infection can be a life-threatening illness even in immunocompetent patients. In the case of infection, intensive care and surgical procedures should be considered.
（）感染罕见且可能致命。我们报告一例脓肿病例，该脓肿在最初源于剖宫产的血肿中形成。一名24岁初产妇因腹痛入院。入院前约一个月，因剖宫产出现盆腔血肿。保守治疗失败后，她在入院前6天接受了腹腔镜手术以清除血肿。在计算机断层扫描检查中，我们发现一个直径9厘米的脓肿位于右盆腔间隙。我们对脓肿进行穿刺并在脓肿中发现了（此处原文缺失相关内容）。我们继续使用抗生素，但她的症状，包括发热和腹痛，加重了，且脓肿增大。我们在住院第10天进行了剖腹探查引流和回盲部切除术。引流手术后，患者病情逐渐好转，顺利出院。围产期患者中尚无关于（此处原文缺失相关感染名称）感染的报道。即使在免疫功能正常的患者中，（此处原文缺失相关感染名称）感染也可能是危及生命的疾病。对于（此处原文缺失相关感染名称）感染，应考虑重症监护和外科手术。
