A Case Report of Uterine Scar Dehiscence with Loculated Collection in Abdominal Cavity after Caesarean Section

Dr. Lakshmi Suseela, Dr. Radha, Dr. Mangali Leelavathi

Abstract: A 21 year old srimathi X, P1 L1 with EMLSCS with post operative day 25 admitted in teaching hospital with complaints of abdominal pain and abdominal distension since 15 days. Complaints started after suture removal. She went to local hospital, there ascitic tap was done and aspirated 2 litres of fluid. On examination temperature afebrile, pulse 108 bpm, BP-100/60, Per abdomen distended, uterus sub involuted, pf scar present, bowel sounds heard, per speculum examination yellowish serous fluid is seen coming from cervix. on bimanual examination uterus 16 weeks size, anteverted, mobile. Fornices free and no forniceal tenderness.

Keywords: Abdominal pain, Distention, forniceal tenderness, organising hematoma