tailieunhanh - Báo cáo y học: " Coliform pyosalpinx as a rare complication of appendicectomy: a case report and review of the literature on best practice"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Coliform pyosalpinx as a rare complication of appendicectomy: a case report and review of the literature on best practice | Journal of Medical Case Reports BioMed Central Case report Open Access Coliform pyosalpinx as a rare complication of appendicectomy a case report and review of the literature on best practice Deepak Singh-Ranger Abayomi Sanusi and Ishrak Hamo Address Department of General Surgery Queen s Hospital Rom Valley Way Romford Essex UK Email Deepak Singh-Ranger - Abayomi Sanusi - yyomi@ Ishrak Hamo - ihamo@ Corresponding author Published 2 April 2008 Received 17 August 2007 Journal of Medical Case Reports 2008 2 97 doi 1752-1947-2-97 Accepted 2 April 2008 This article is available from http content 2 1 97 2008 Singh-Ranger et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Coliform pyosalpinx is a rare entity. We report a case that occurred three months after appendicectomy for gangrenous appendicitis. There follows a literature review on best practice for the treatment of pyosalpinx. Case presentation A seventeen year old girl presented with an acute abdomen three months after an appendicectomy for gangrenous appendicitis. Intraoperative findings were bilateral pyosalpinx treated by aspiration saline and Betadine irrigation and intravenous antibiotics. Conclusion Microbiological analysis of the pus revealed Escherichia coli and anaerobes. Chlamydia and Candida were not isolated. This is the first known reported case of Coliform Pyosalpinx following appendicectomy. The best treatment does not necessarily involve salpingectomy especially in women of reproductive age where fertility may become compromised. Introduction Pyosalpinx in the majority of cases is a sequela of pelvic inflammatory disease. The ramifications of this .