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Typically, postoperative pelvic infections, including vaginal cuff cellulitis and pelvic abscess, present with complaint of pelvic pain with fever with associated tachycardia and leukocytosis. The approach to management depends on the clinical status of the patient and characteristics of the pelvic infection. Appropriate antimicrobial therapy of pelvic abscesses includes coverage against aerobic and anaerobic bacteria with an ability to penetrate abscess cavities while remaining stable in an acidic, hypoxic environment, typical of an abscess [ 34 ].