What question did this study set out to answer?

To evaluate the presentation and management of a woman with postoperative complications following a cesarean section.

April 16, 2026Open Access

Quiz

Puntos clave

To evaluate the presentation and management of a woman with postoperative complications following a cesarean section.
Patient presented on POD-8 post-cesarean section for assessment of symptoms.
Broad-spectrum intravenous antibiotics administered for suspected postpartum endometritis.
Physical examination performed focusing on abdominal tenderness and vital signs.
Patient exhibited high-grade fever persisting for 4 days post-surgery.
Presenting symptoms included right lower abdominal pain and mild nausea.
No improvement after treatment with antibiotics indicates possible underlying infection.

Resumen

A 30-year-old P2L2 woman presents to the emergency department on postoperative day-8 (POD-8) after an uncomplicated lower segment cesarean section (LSCS) performed for non-progress of labor.Her antenatal period was notable for gestational diabetes mellitus (GDM) on insulin and a body mass index (BMI) of 32 kg/m.Surgery was uneventful, and she was discharged on day 3.She now complains of persistent high-grade fever for 4 days; dull, continuous pain in the right lower abdomen, radiating to the flank; mild nausea but no vomiting.She has already received broad-spectrum intravenous antibiotics (piperacillin-tazobactam + metronidazole) for suspected postpartum endometritis for the past 2 days at a peripheral center, with no clinical improvement. ExaminationTemperature: 38.9C; pulse: 108/min; BP: 112/74 mm Hg; respiratory rate (RR): 20/min; no calf tenderness or pedal edema. Abdominal ExaminationMild tenderness in the right iliac fossa and flank; no guarding or rigidity.

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