PMC6500617_01
On the left, there is a CT A/P with IV contrast in sagittal view demonstrating that the uterus is enlarged and heterogeneously consistent and an approximately 2.6 x 2.5 cm defect is noted at the C-section incision site containing hypodense fluid and multiple bubbles of gas. Also, a focus of gas is also noted within the endometrial cavity. On the right, there is a CT A/P with IV contrast in sagittal view done two days after the one on the left demonstrating a persistent 2.6 cm defect at the C-section incision site containing fluid and multiple bubbles of gas. Now this defect is continuous with a 3.3 x 0.9 cm abscess along the anterior aspect of the uterus.
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fig1
The patient continued to be febrile the next 24 hours and repeat CT imaging demonstrated the 2.6 cm wound defect with a new abscess measuring 3.3 x 0.9 along the anterior aspect of the uterus and in the rectouterine space (Figure 1).