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pelvic abscess

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Case 79 - A 45-Year-Old Woman with Vaginal Bleeding and Fever to 38.3°C after Hysterectomy
- By Julie Zemaitis DeCesare
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 241-243
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Summary

A 45-year-old women presents to the emergency room complaining of vaginal bleeding and fevers at home to 38.3°C. She is six days post-op from a robotic hysterectomy, bilateral salpingectomy. The patient had normal return of bowel and bladder function and has been taking ibuprofen 600 mg every 6 hours alternating with oxycodone/acetaminophen 5/325 mg every 6 hours as needed for pain relief. She states that she really felt good for the first few days with only some light spotting since the procedure. Over the last 24 hours, she has noticed an increase in the discharge and stated it is now foul smelling. Her pain level and fatigue have increased over the last 12 hours, and she rates the pain in her abdomen as a 5 out of 10.