Pelvic Inflammatory Disease in the Form of Peritoneal Absces
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Introduction
Pelvic and peritoneal abscess complicating pregnancy is rare. Although nongynaecological conditions contribute to the aetiologies of this unusual complication during pregnancy, rarely it may also be a complication of chronic pelvic inflammatory disease. As the classical clinical features are altered by the gravid uterus, the antenatal diagnosis of chronic PID is difficult. The delayed diagnosis and management may be detrimental to both mother and foetus. We present a case of peritoneal abscess secondary to chronic PID which was found incidentally at repeat caesarean section.

Case Report
A 36-year-old woman with gravida 2 Para 1 Living 1 with previous caesarean section at 29 weeks four days of gestation was referred with diffuse pain abdomen and giddiness. The pain was diffuse and present for the past 20 days which was partially relieved by symptomatic treatment by local doctors, and she also received antibiotics suspecting urinary tract infection. However she presented then with history of giddiness and one episode of vomiting with no history of diarrhoea and was referred. She was married for 10 years. Her first pregnancy was three years back when she underwent caesarean section for placenta previa. She continued to have episodes of pain abdomen in the postnatal and interpregnancy period for which she received symptomatic treatment by local doctor. She was pale on examination. Her vital signs including temperature were normal.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335664/
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