CT of pelvic infection after cesarean section.
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.
Apter
S
S
Department of Diagnostic Imaging, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Shmamann
S
S
Ben-Baruch
G
G
Rubinstein
Z J
ZJ
Barkai
G
G
Hertz
M
M
D000038:Abscess / Q000000981:diagnostic imaging*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging*; D010388:Pelvis / Q000000981:diagnostic imaging*; D011645:Puerperal Infection / Q000000981:diagnostic imaging*; D011860:Radiography, Abdominal; D013927:Thrombosis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014680:Veins