PMC8075616_01
A) Pelvis region, 4 cm above the cesarean section, right side of the alba
line, showing a hyperemic area; B) Hyperemic area of the drainage incision,
4 cm above the cesarean section scar.
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f1
However, after the end of drug treatment and before the wires were reabsorbed, the region began to show redness, intense pain and a greater hardening of palpation, as well as local burning (Figure 1A). The incision made for drainage healed within 18 days (Figure 1B) as well as the right corner of the cesarean section.
A) Abdominal wall USG (hypogastric region) presenting with a collection
and a fistulous path that deepens from the skin to the muscular aponeurosis;
B) Abdominal wall USG (hypogastric region) presenting with a collection area
in the second affected site.
1678-9946-rimtsp-63-S1678-9946202163037-gf02.jpg
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f2
Nonetheless, the new USG revealed that at the first drainage site there was a collection together with and inflammatory process and a fistulous tract that deepened to the muscular aponeurosis (Figure 2A). On the left of the alba line, there was a collection and a fistulous pathway that deepened to the muscular aponeurosis near the fistula reported previously, but without a deeper collection (Figure 2B).
Histopathological image of a subcutaneous tissue fragment showing a
lymphocyte-permeated tuberculoid granuloma formed by epithelioid cells (long
arrow) and occasional multinucleated giant cells (short arrows) (400 X
magnification - Hematoxylin-Eosin staining).
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The histopathological analysis of hematoxylin-eosin (HE)-stained tissue fragments revealed a chronic inflammatory process with the presence of tuberculoid granulomas composed of epithelioid cell clusters, surrounded by lymphocytes, permeated by neutrophils and occasionally by multinucleated giant cells (Figure 3).