Post Caesarean Section Deep Pelvic Abscess: CT Guided Transgluteal Drainage

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Surgical Innovation

Background:

• Organ space surgical site infections (SSIs) complicate patient recovery and increase sepsis risk.
• Deep pelvic collections associated with SSIs carry a high mortality risk if untreated.
• Advances in image-guided percutaneous interventions offer improved outcomes with minimal morbidity.

Observation:

• A case of deep surgical site infection (SSI) following a caesarean section is presented.
• The patient was concurrently diagnosed with COVID-19.
• The infection involved a deep pelvic collection.

Findings:

• The deep pelvic collection and SSI were successfully managed using minimally invasive techniques.
• The intervention aimed to drain the collection while minimizing patient morbidity.
• This approach proved effective in a complex patient scenario.

Implications:

• Minimally invasive image-guided techniques are valuable for managing complex surgical site infections, even in immunocompromised patients.
• Effective management of deep pelvic collections can reduce mortality associated with SSIs.
• This case underscores the importance of tailored interventional strategies in obstetric surgery complications.