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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
CT of pelvic infection after Cesarean section
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1
From the Departments of Diagnostic Imaging, The Chaim Sheba Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel
2
Obstetrics and Gynecology, The Chaim Sheba Medical Center, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel
Clin. Exp. Obstet. Gynecol. 1992, 19(3), 156–160;
Published: 10 September 1992
Abstract
The CT findings in 6 women with puerperal sepsis after Cesarean section were reviewed. In four patients a right-sided mass was palpated. CT scan confirmed the diagnosis of Tubo-ovarian abscess in two of the patients, puerperal ovarian vein thrombosis (POVT) in the third and an enlarged adnexa with no signs of abscess formation in the fourth patient. The last two patients had normal adnexae but a large amount of gas in the uterus. All patients recovered after appropriate treatment. In patients with severe puerperal sepsis who do not respond to antibiotic therapy, CT scanning of the abdomen and pelvis is useful. This study can demonstrate whether there is an abscess which requires surgical intervention or POVT which needs additional anticoagulant treatment.
Keywords
CT
Infection Post Cesarean Section
Ovarian abscess
Uterine emphysema