title: Abdominal rectus muscle sheath abscess after spontaneous vaginal delivery. A case report.
abstract: Postpartum infections cause severe morbidity of the mother. Abdominal wound infection and abscess formation are common complications after cesarean delivery. We report a case with abscess formation inside the abdominal rectus muscle sheath after normal, spontaneous vaginal delivery. A 32-year-old woman, para 2, had a normal vaginal delivery at term. The second postpartum day she complained of lower abdominal pain and was unable to stand up or walk. The fourth day, cellulitis of the skin of the lower abdomen developed and was treated with broad-spectrum intravenous antibiotics. The seventh day the patient developed septic fever and an abdominal rectus muscle sheath abscess was diagnosed. The abscess was treated with incisions and evacuation and the patient was discharged the 12th postoperative day. The abscess in this case, as hematoma formation was not preceded, was referred to ascending contamination via the lymphatic vessels.
authors.affiliation: Department of Obstetrics & Gynecology, University General Hospital of Alexandroupolis, Greece.
authors.forename: Ger
authors.initials: G
authors.lastname: Koutsougeras
authors.forename: D
authors.initials: D
authors.lastname: Karamanidis
authors.forename: P
authors.initials: P
authors.lastname: Nikolaou
authors.forename: G
authors.initials: G
authors.lastname: Chimonis
authors.forename: Ap
authors.initials: A
authors.lastname: Byros
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000601:surgery; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003646:Debridement; D036861:Delivery, Obstetric; D004322:Drainage / Q000379:methods; D016972:Enterobacter cloacae / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D011645:Puerperal Infection / Q000175:diagnosis* / Q000601:surgery; D017568:Rectus Abdominis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome