# Laparoscopic Drainage of Severe Intra-abdominal Abscesses Following Cesarean Section: A Case Report

## TL;DR

A 29-year-old woman developed a severe abdominal abscess after a cesarean section and was successfully treated with laparoscopic drainage when other methods failed.

## Contribution

This case report highlights laparoscopic drainage as a viable treatment option for intra-abdominal abscesses after cesarean section when conservative and percutaneous methods fail.

## Key findings

- The patient's condition improved after laparoscopic drainage and peritoneal lavage.
- Laparoscopic drainage was effective when image-guided drainage was not feasible.
- Intra-abdominal abscesses after cesarean section are rare but can be life-threatening.

## Abstract

We report a rare case of a 29-year-old pregnant woman with obesity who developed a severe intra-abdominal abscess after an emergency cesarean section (CS) for labor arrest. The patient presented with persistent fever and lower abdominal pain after CS. Enterococcus faecalis was isolated from the purulent material in the pelvis. Despite antibiotic treatment, the patient’s symptoms and laboratory test results did not improve. Abdominal CT revealed multiple intra-abdominal abscesses and distended bowel loops. On the 12th day of admission, laparoscopic drainage was performed under general anesthesia because image-guided drainage using interventional radiology was not feasible. Laparoscopic adhesiolysis and peritoneal lavage were performed, and drainage tubes were placed. The patient’s condition gradually improved; she was discharged without complications. Intra-abdominal abscess formation after CS is a rare but potentially fatal complication. Although no standard treatment has been established, laparoscopic drainage may be an effective alternative, particularly when conservative management fails and the percutaneous drainage of abscesses is unsuitable.