Subphrenic abscess after cesarean section in term pregnancy complicated by chorioamnionitis.
BACKGROUND
Subphrenic abscess is rare after cesarean section.


METHODS
Case report and review of the pertinent world literature


METHODS
A 22 year-old primigravida underwent a lower-segment cesarean section in the setting of chorioamnionitis, and had a good postoperative recovery initially. Eleven days after surgery, dyspnea and fever prompted a computed tomography scan, which revealed a large subphrenic abscess. The abscess resolved with percutaneous drainage and intravenous antibiotics. A placental swab, baby's skin swab, and abscess aspirate all grew group B Streptococcus.


CONCLUSIONS
Although subphrenic abscess is rare in obstetric practice, it should be suspected in patients who remain unwell after chorioamnionitis.
Department of Obstetrics and Gynaecology, Princess Margaret Hospital, Hong Kong, Semi-Autonomous Region, China. wongyinggrace@hotmail.com
Grace Ying
GY
Wong
Helena
H
Lam
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002821:Chorioamnionitis / Q000382:microbiology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D013369:Subphrenic Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D014057:Tomography, X-Ray Computed