A surgical site infection (SSI) is defined as an infection of the incision site or any anatomical component that was opened or manipulated, occurring within 30 days of surgery. Pelvic abscesses fall within the category of organ space SSIs and are typically treated via conservative measures. This involves the initiation of broad-spectrum antibiotic therapy, typically with metronidazole and a cephalosporin.
This video presents the case of a 35-year-old G1T1 who developed cesarean scar dehiscence and pelvic abscesses. We demonstrate the efficacy of conservative management through collaborative approach with Interventional Radiology and use of antibiotics in the context of clinically stable patients. We highlight the key steps in management of such cases. Our patient responded well to the proposed regimen which was demonstrated in her final ultrasound review.