20 days after a cesarean section, the patient developed abdominal distension. She was passing stool and urine normally. An ultrasound (USG) revealed moderate ascites and B/L mild pleural effusion. The patient had previously undergone two cesarean sections and presented with scar tenderness and dense adhesions during the last procedure. Her bladder was adhered to the lower uterine segment and anterior part of the uterus and hence adhesiolysis was performed, but ligation was not possible due to the dense adhesions. The tissues were unhealthy and fragile. After achieving hemostasis, the uterus and abdomen were closed. The postoperative period was uneventful, and the patient was discharged with a Foley catheter for 14 days. When she returned for Foley catheter removal, she appeared to be fine. However, one week later, she returned with abdominal distension, normal bowel and bladder habits, and a USG showed moderate ascites. Suggest an appropriate treatment 

 

  • #gynaecology - ivf
  • #gastroenterology

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Dr. Nitu Shrivastav

Dr. Nitu Shrivastav

Gynaecologist

· Bhopal

Few years back I also had same case that patient developed ascites after one month of LSCS,USG guided peritoneal fluid examination ,diagnosed Koch's abdomen, Exploratory laparotom ...read more

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