28 year old married housewife P3L2, day 18 of normal delivery was referred in view of loose
motions. On abdominal examination guarding, rigidity, tenderness and ascites were present.
Vaginal examination findings were normal. Diagnostic tapping of peritoneal fluid was done and
10 ml of white thick pus was aspirated. On exploratory laparotomy uterus was 8 weeks, both
ovaries and tubes were normal, no source of abscess could be identified. Pus was sent for
culture, sensitivity and ADA levels. ADA levels were raised. Patient was started on 4 drug AKT.