PELVIC ABSCESS WITH UTERINE WOUND DEHISCENCE POST CESAREAN SECTION, RARE PRESENTATION WITH MODIFIED MANAGEMENT: CASE REPORT & LITERATURE REVIEW

The rate of caesarean section rate is increasing worldwide, the ideal rate being from 10 to 15% according to WHO. Various complications are associated with this operative procedure, such as intraoperative hemorrhage, wound and chest infections, abdominal wound dehiscence, from anesthesia, deep vein thrombosis, and pulmonary embolism to name a few. Uterine wound dehiscence is a very rare complication of cesarean section that presents with PPH[1]. Postoperative pyrexia may result from various causes, pelvic abscess being a very rare one, occurring in < 1% of patients with post cesarean endometritis[2]. This report describes anunusual cause of fever following cesarean delivery and presentation of its sequelae, our method of management, its outcome with comparison to similar cases presented in the literature. This the first case report in literature of post-operative pelvic abscess with uterine wound dehiscence, a rare presentationthat was managed with radiological intervention and assistance.