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Postoperative pelvic gas collections simulating pelvic abscess

H T Gilmore, C T Beecham

    Obstetrics and Gynecology
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    Post-abdominal hysterectomy, extraperitoneal gas collections in pelvic tissues are common and distinct from infection or injury. These findings are not typically seen after vaginal hysterectomy.

    Area of Science:

    • Pelvic Surgery
    • Radiology
    • Gynecologic Oncology

    Background:

    • Post-operative imaging frequently reveals extraperitoneal gas collections in the pelvic soft tissues after abdominal hysterectomy.
    • Distinguishing these common gas collections from pathological processes like pelvic infection or bowel injury is crucial for accurate patient management.

    Purpose of the Study:

    • To characterize the typical appearance of extraperitoneal gas collections following abdominal hysterectomy.
    • To differentiate these benign findings from signs of pelvic infection or bowel injury.
    • To compare the incidence of these collections after abdominal versus vaginal hysterectomy.

    Main Methods:

    • Review of post-operative imaging studies (e.g., CT scans) in patients who underwent abdominal hysterectomy.

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  • Radiological assessment of the location, extent, and characteristics of extraperitoneal gas collections.
  • Correlation of imaging findings with clinical outcomes and surgical approach (abdominal vs. vaginal hysterectomy).

    • Main Results:

    • Extraperitoneal gas collections are a routine finding in the pelvic soft tissues after abdominal hysterectomy.
    • These collections typically exhibit a characteristic appearance that aids in differentiating them from pathological conditions.
    • Similar extraperitoneal gas collections are not routinely observed following vaginal hysterectomy.

    Conclusions:

    • The presence of extraperitoneal gas in pelvic soft tissues is a common and expected finding after abdominal hysterectomy.
    • Radiologists and clinicians should be aware of this benign finding to avoid misdiagnosis of pelvic infection or bowel injury.
    • The surgical approach (abdominal vs. vaginal hysterectomy) influences the occurrence of these post-operative gas collections.