Woman 29yo experienced a cesarean operation for 9 days with normal primigest terminal.
And she had got fever and pain at pelvis and diarrhea (see photo).
US 1 scan at pelvis : longitudinal scan shows that fluid in abdominal walll as an abscess and a big uterus.
US 2 scan at pelvis : air in abdominal wall and inside uterus.
US 3: reverberation by the air in abdominal wall.
MSCT with CE = CT 1: CROSSED SECTION : AIR IN ABDOMEN WALL.
CT2 : AIR IN UTERUS.
CT3 : AIR AROUND UTERUS AND PUS AROUND PELVIS.
BLOOD TESTS= WBC 30K NEUTRO 23.7% hsCRP 120.5( n 5mg/l).
EMERGENCY DIAGNOSIS IS PELVIS ABSCESS PULL OUT THE ABDOMEN WALL.
OPERATION LAPAROTOMY FOR REMOVING OF PUS AND HYSTERECTOMY.
