Patient's question:
Lightly press the pain, and it cannot be touched. Difficulty in getting up, lying down, walking. The first ultrasound showed poor healing of the uterine incision with a 1712 low echo area, and pelvic fluid of 15mm. The third detailed examination showed no low echo area in the uterine incision, but the fluid enhancement increased to 19mm. However, the condition did not improve. The fourth examination was conducted at Peking Union Medical College Hospital, and no abdominal mass was found.History of treatment and effectiveness: Taking traditional Chinese medicine enemas, intravenous drip of Western medicine for inflammation did not work.
What kind of help is desired: What kind of examination can help find the cause of the abdominal tenderness and the reason for the increased fluid? Is there a problem with adhesions? Or is there an issue with the abdominal wall incision? What kind of examination can diagnose this? If it doesn’t work, will surgery be needed to explore the lesions? Thank you, doctor!
Doctor's answer:
The condition you are experiencing after a cesarean section for five months is likely due to poor healing of the uterine incision and adhesions of the retroverted uterine peritoneum, which may have a hematoma. It is recommended that you visit the urology department for a thorough examination to rule out bladder damage. It is advised that you go to a regular hospital's urology department for a detailed and careful examination to determine if the condition is caused by bladder damage. Based on your clinical presentation, it is more consistent with this possibility, and it is recommended that you undergo a detailed examination of your cesarean section. The condition after a cesarean section is very serious, and it is recommended that the patient seek timely treatment. It is hoped that the patient can follow the doctor's advice for symptomatic treatment. At the same time, pay attention to dietary issues and avoid spicy and irritating foods to help alleviate the condition. The above answer is hoped to be helpful to you. Thank you.