Abstract

Introduction and Importance: Surgical site infections are very common in developing countries, cesarean section is still not a harm less procedure. Indeed, it can be the source of complications such as endometritis, thrombophlebitis, pelviperitonitis, and surgical site infections. Case Presentation: We report a rare case of post-caesarean group b streptococcal pelviperitonitis in a 20-year-old patient. Clinical Discussion: The overall incidence of nosocomial infections in cesarean women is estimated at 19%. Postpartum Streptococcus B infections tend to be difficult to identify not only because of their rarity, but also because of the variety of ways they can present. Women with postpartum streptococcal B infection who have minimal pelvic tenderness and no fever are likely to develop pelviperitonitis due to delayed diagnosis, especially when endometrial sampling is difficult in the early postpartum period. Conclusion: Antibacterial agents, antipyretics, and supportive therapy are essential in the treatment of postpartum endometritis but are insufficient in pelviperitonitis that requires surgical intervention. Prevention is based on early and adequate treatment of lower genital infections and on compliance with a septic measure during endo-uterine manoeuvres.