Conservative treatment of patients with severe pelvic abscess after cesarean delivery in China: A case series

Background: The rate of cesarean section (CS) is increasing worldwide (especially in China) reaching 51-65%. Although severe pelvic abscesses after CS are rare, they are difficult to treat. To address this problem, we herein report 23 cases of severe pelvic abscesses and their treatments. Methods: : We identified 23 patients with severe pelvic abscesses using International Classification of Disease codes in a retrospective quality assurance analysis. Results: and discussion: During the study, 23 women with severe pelvic abscess were identified among the 12640 patients who underwent cesarean delivery (CD). Eachpatient had a fever that lasted 5-17 days. B ultrasound or MRI revealed abscess cysts around the uterus in the pelvic abscess group. A total of 14 (60.9%) of the 23 patients with pelvic abscesses had wound dehiscence. In our patients, 15 patients had positive cultures, 10 were bacteria, two were Mycoplasma suis , and one was Rhizopus . Conclusions: : In conclusion, our study reported that pelvic abscesses were always complicated with wound dehiscence and polycystic pus, and most of them were located anterior tothe uterus. Although we did not formulate a standard treatment for the pelvic abscesses, debridement was a good treatment option, and the patients’ temperatures were controlled after pus was expelled from their wounds.