What is your Diagnosis of this Female Patient? Part 2: Post-operative

January 23, 2012

This is our LSCS patient, post-op. Currently, she has a history of pain in the lower abdomen and pelvis with scanty discharge from wound site.

 

This is our LSCS patient, postoperatively.  The original case is here.

Currently, she has a history of pain in the lower abdomen and pelvis with scanty discharge from wound site.

What is your opinion based on these images? Images open full size.

Add your diagnosis to the comment box.  Do you need additional information, image and video?

There are multiple findings in this case that are responsible for the pain and exudates in this patient.  Note the power doppler image.

I have arrowed a notable area in this video

What's your diagnosis?  Check to see if you are right.

Diagnosis:

1) There is poor healing of the LSCS wound in the uterus, with debris/ hematoma within the wound.  This is noted in the video.
2) Pelvic congestion is also present, as shown in the power Doppler image.
3) There is cellulitis of the left abdominal wall adjacent to the abdominal wall incision (see the image showing thickened subcutaneous tissue).  The patient has discharge from this site.

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