A female patient, 48 years old three pregnancies with three deliveries. Five days before this test was to present Hysterectomy heavy menstrual bleeding due to uterine fibromiomatosis. Added oophorectomy. Enter by intense pain in hypo-gastric region with significant vaginal bleeding. The eco-abdominal sonographic examination and around the surgical wound did not find anything abnormal. In the transvaginal examination shows the absence of uterus and ovaries and the presence of an-echogenic mass with smooth and fine suspended echogenic mass that corresponds to blood clot (see first 3 images). It takes surgery and evacuated vaginally containing blood clots around 400 cc, smelly..
The next day he made new eco-sonographic evaluation because the patient has abdominal pain, bloating, and disseminated. In abdomen right pleural effusion was found least in the eco-transvaginal sonography (last two photos) is again displayed containing liquid mass with refractive material floating lumps and highly suggestive of the presence of pus. Surgical approach is performed, this time through the abdomen, evacuating material sero-purulent bloody undisclosed amount. Following this procedure the patient developed cellulitis on both legs to get to the abdomen and chest, along with it severe bilateral pleural effusion. After intensive and massive antibiotic treatment, the table was giving and he could return home safely.During all this time and even after being discharged is maintained with a high fever and thrombocytopenia continued persistently and whose etiology has not yet been determined.