Postpartum endometritis leading to decidual abscess

ABSTRACT

Postpartum Endometritis [PPE] is one of the common causes of postpartum fever. PPE leading to decidual abscess has not been reported previously in the literature. Risk factors for PPE range from invasive fetal monitoring to maternal diabetes mellitus and anemia. Our patient had several risk factors for the development of PPE. Commonly PPE is a polymicrobial infection but in our case it was monobacterial. Ultrasonography, tissue histopathology and culture sensitivity are helpful in diagnosing PPE, as well as tailoring the antimicrobial therapy. PPE is a common etiology for postpartum fever and acute infection of decidua which may progress and lead to decidual abscess formation. Endometritis can be monobacterial from the genital tract organisms. Uterine curettage and endometrial tissue culture and sensitivity will guide in tailoring the antimicrobial therapy