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Exam questionKROK 2Medicine · 2019

On the day 4 after the cesarean section a woman developed fever with body temperature up to 39°C and abdominal pain. Pulse – 104/min. She vomited twice. The patient is sluggish, her tongue is dry and has gray coating. The abdomen is distended. Signs of peritoneal irritation are positive in all segments. Peristalsis cannot be auscultated. No passage of gas occurs. Uterine fundus is located at the level of the navel. The uterus is painful on palpation. The discharge is moderate and contains blood and pus. What is the most likely diagnosis?

Answer options

  1. Diffuse peritonitis
  2. Parametritis
  3. Progressive thrombophlebitis
  4. Pelvic peritonitis
  5. Metroendometritis
Correct answer

Diffuse peritonitis

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