Abstract：
BACKGROUND: Bacterascites are a rare complication of cesarean sections (C/S). Here, we report the case of a patient with bacterascites after an emergent C/S.
METHODS: A 41-year-old female reported diffuse abdominal tightness and pain for a week after C/S, who received C/S at 38 4/7 weeks due to superimposed preeclampsia and prolonged labor.
METHODS: Bacterascites caused by Salmonella species after C/S was diagnosed.
METHODS: Initial treatment included cefmetazole and metronidazole. On day 2, paracentesis was performed, followed by albumin and hydroxyethyl starch administration. By day 3, the patient developed pulmonary edema, necessitating Lasix administration. On day 6, ascites culture revealed Salmonella species resistant to third-generation cephalosporins, leading to meropenem therapy adjustment. This resulted in improved symptoms. Meropenem was continued for 14 days to complete the treatment regimen.
RESULTS: Follow-up ultrasonography revealed a decrease in ascites. As the patient clinical condition improved, she was discharged on day 20 and scheduled for outpatient department follow-up. No recurrence of ascites was observed during the subsequent follow-up period of 3 months. No ascites were noted 8 days after discharge.
CONCLUSIONS: Postoperative bacterascites with Salmonella were diagnosed. Antibiotic treatment and therapeutic paracentesis were effective for this condition.
METHODS: A 41-year-old female reported diffuse abdominal tightness and pain for a week after C/S, who received C/S at 38 4/7 weeks due to superimposed preeclampsia and prolonged labor.
METHODS: Bacterascites caused by Salmonella species after C/S was diagnosed.
METHODS: Initial treatment included cefmetazole and metronidazole. On day 2, paracentesis was performed, followed by albumin and hydroxyethyl starch administration. By day 3, the patient developed pulmonary edema, necessitating Lasix administration. On day 6, ascites culture revealed Salmonella species resistant to third-generation cephalosporins, leading to meropenem therapy adjustment. This resulted in improved symptoms. Meropenem was continued for 14 days to complete the treatment regimen.
RESULTS: Follow-up ultrasonography revealed a decrease in ascites. As the patient clinical condition improved, she was discharged on day 20 and scheduled for outpatient department follow-up. No recurrence of ascites was observed during the subsequent follow-up period of 3 months. No ascites were noted 8 days after discharge.
CONCLUSIONS: Postoperative bacterascites with Salmonella were diagnosed. Antibiotic treatment and therapeutic paracentesis were effective for this condition.
摘要：
背景：腹水是剖宫产（C/S）的罕见并发症。这里,我们报告了一例急症C/S后出现细菌腹水的患者。
方法：一名41岁女性在接受C/S治疗后一周出现弥漫性腹部紧绷和疼痛，由于叠加先兆子痫和分娩时间延长，在384/7周接受C/S。
方法：诊断为C/S后由沙门氏菌引起的腹水。
方法：初始治疗包括头孢美唑和甲硝唑。在第2天，进行穿刺术，然后是白蛋白和羟乙基淀粉给药。到第3天，患者出现肺水肿，需要Lasix管理。在第6天，腹水培养显示沙门氏菌对第三代头孢菌素具有抗性，导致美罗培南治疗调整。这导致症状改善。美罗培南持续14天以完成治疗方案。
结果：随访超声显示腹水减少。随着患者临床状况的改善，她在第20天出院，并安排门诊随访。在随后的3个月随访期间，未观察到腹水复发。出院后8天未发现腹水。
结论：术后诊断为沙门菌腹水。抗生素治疗和治疗性穿刺对这种情况有效。
方法：一名41岁女性在接受C/S治疗后一周出现弥漫性腹部紧绷和疼痛，由于叠加先兆子痫和分娩时间延长，在384/7周接受C/S。
方法：诊断为C/S后由沙门氏菌引起的腹水。
方法：初始治疗包括头孢美唑和甲硝唑。在第2天，进行穿刺术，然后是白蛋白和羟乙基淀粉给药。到第3天，患者出现肺水肿，需要Lasix管理。在第6天，腹水培养显示沙门氏菌对第三代头孢菌素具有抗性，导致美罗培南治疗调整。这导致症状改善。美罗培南持续14天以完成治疗方案。
结果：随访超声显示腹水减少。随着患者临床状况的改善，她在第20天出院，并安排门诊随访。在随后的3个月随访期间，未观察到腹水复发。出院后8天未发现腹水。
结论：术后诊断为沙门菌腹水。抗生素治疗和治疗性穿刺对这种情况有效。
