1Amani Ghazalah, 1Khaoula Lakhdar, 1Fatima Zahra Belouazza, 1Aziz Slaoui, 1Soukaina Mouiman, 1Amina Lakhdar, 1Aziz Baydada
1Gynecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
1Corresponding Author: Amani Ghazalah,
1University Hospital Center IBN SINA of Rabat, Department of Gynecology-Obstetrics and Endoscopy, University Mohammed V of Rabat, Morocco
ABSTRACT
Introduction and importance: Post-partum infections are common complications of childbirth. However, liver abscess as a result of cesarean section remains extremely rare. Early recognition is critical due to its potential severity.
Case presentation: We report the case of a 20-year-old primigravida who developed persistent fever after emergency cesarean delivery for chorioamnionitis. Imaging revealed multiple liver abscesses. Percutaneous drainage was performed and Streptococcus viridans was isolated. The patient responded well to targeted antibiotic therapy.
Clinical discussion: This case highlights the diagnostic challenge of liver abscess in the postpartum setting. Persistent fever unresponsive to standard therapy should prompt further imaging. A multidisciplinary approach involving radiology, infectious diseases, and surgery is essential.
Conclusion: Liver abscess, although rare, should be considered in cases of persistent post-cesarean fever. Early diagnosis and appropriate management are key to successful outcomes.
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