Case 2

A 30 years old female had a 15 days delivery of a healthy baby by cesarean section after which she suffered from intractable vaginal bleeding which was finally stopped by total hysterectomy. On discharge she developed, after being vitally stabilized and removal of the urinary catheter, a rapid abdominal distension which became tense after a short period and formed an unexplained problem.

The patient had a history of undefined liver problems before pregnancy but without definite clinical signs or investigations.

Now her abdominal distension became tense and associated with abdominal discomfort no fever and no other significant clinical signs and symptoms .

Now how do you think of this case in this scenario ? What is the diagnosis? and how to manage?



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