Management of Diffuse Abdominal Cellulitis After Cesarean Section

摘要

In present case report, diffuse abdominal cellulitis is discussed under light of data in literature. Thirty-nine years old patients refered to our clinic, with the cesarean wound dehiscence and diffuse abdominal erythema, pain, increased temperature at 6th day of cesarean section. Initial diagnosis was diffuse abdominal cellulitis after cesarean section. In spite of antibiotic treatment and drainage, clinic of patient did not regress. So, a transverse insicision at left lumbar area near to midline and below umblicus was performed and phannenstiel insicion was extended upwards to right side under general anestesia. Drainage and debridement was performed. Between two insicions, skin and subcutaneous tissues were left as a bridge and tissue above the fascia was under arch of bridge. Necrotic tissues was excised. The insicions at abdominal area, were expected to heal secondarily. When the clinic and symptoms of patient was improved, at postoperative 36th day, she was discharged with daily wound dressing and control. In conclusion, serious superficial and subcutaneus tissue infections developed after cesarean section should be taken into intensive care and treatment protocols. Besides, these cases should be under observation due to increased risk of sepsis.