Coliform pyosalpinx as a rare complication of appendicectomy: a case report and review of the literature on best practice
- Resource Type
- Authors
- Abayomi Sanusi; Ishrak Hamo; Deepak Singh-Ranger
- Source
- Journal of Medical Case Reports, Vol 2, Iss 1, p 97 (2008)
Journal of Medical Case Reports
- Subject
- Medicine(all)
medicine.medical_specialty
Pediatrics
Chlamydia
business.industry
General surgery
medicine.medical_treatment
lcsh:R
Rare entity
lcsh:Medicine
Reproductive age
Case Report
General Medicine
medicine.disease
Appendicitis
Acute abdomen
Salpingectomy
Pyosalpinx
medicine
medicine.symptom
Complication
business
- Language
- English
- ISSN
- 1752-1947
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.