IV. Case of Bilateral Pelvic Abscess During Pregnancy.*

IntroductionAcute diverticulitis of the sigmoid colon is increasingly treated by a non-operative approach. The need for colectomy after recovery from a flare of acute diverticulitis of the left colon, complicated diverticular abscess is still controversial. The primary aim of this study is to assess the risk of interval emergency surgery by systematic review and meta-analysis.Methods and analysisThe systematic review and meta-analysis will be conducted in accordance to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols statement. PubMed/MEDLINE, Cochrane Central Register of Controlled Trials and EMBASE will be screened for the predefined searching term: (Diverticulitis OR Diverticulum) AND (Abscess OR pelvic abscess OR pericolic abscess OR intraabdominal abscess) AND (surgery OR operation OR sigmoidectomy OR drainage OR percutaneous drainage OR conservative therapy OR watchful waiting). All studies published in an English or German-speaking peer-reviewed journal will be suitable for this analysis. Case reports, case series of less than five patients, studies without follow-up information, systematic and non-systematic reviews and meta-analyses will be excluded. Primary endpoint is the rate of interval emergency surgery. Using the Review Manager Software (Review Manager/RevMan, V.5.3, Copenhagen, The Nordic Cochrane Centre, The Cochrane Collaboration, 2012) meta-analysis will be pooled using the Mantel-Haenszel method for random effects. The Risk of Bias in Non-randomized Studies of Interventions tool will be used to assess methodological quality of non-randomised studies. Risk of bias in randomised studies will be assessed using the Cochrane developed RoB 2-tool.Ethics and disseminationAs no new data are being collected, ethical approval is exempt for this study. This systematic review is to provide a new insight on the need for surgical treatment after a first attack of acute diverticulitis, complicated by intra-abdominal or pelvic abscesses. The results of this study will be presented at national and international meetings and published in a peer-reviewed journal.PROSPERO registration numberCRD42020164813.

Download Full-text

Successful endovascular stenting of a bleeding external iliac vein mycotic aneurysm in an oncologic patient: a case report

CVIR Endovascular ◽

10.1186/s42155-021-00240-8 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Rupal S. Parikh ◽

Shiyi Li ◽

Christopher Shackles ◽

Tamim Khaddash

Keyword(s):

Mycotic Aneurysm ◽

Case Reports ◽

Treatment Options ◽

Iliac Vein ◽

Pelvic Abscess ◽

Vascular Lesions ◽

Endovascular Stenting ◽

Oncologic Patient ◽

External Iliac Vein ◽

Effective Option

Abstract Background Mycotic aneurysms are rare vascular lesions, occurring in 0.6–2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Case presentation This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. Conclusion Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.

Download Full-text

Penetrating deep pelvic injury due to “less-lethal” beanbag munitions: a case report and policy implications

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000754 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000754

Author(s):

Christopher S Schenck ◽

Soum D Lokeshwar ◽

Matthew D Riedel ◽

Kimberly A Davis

Keyword(s):

Pelvic Abscess ◽

Policy Implications ◽

Severe Injury ◽

Pelvic Injury ◽

Surgical Removal ◽

Delayed Presentation ◽

Permanent Disability ◽

Irrigation And Debridement ◽

Excellent Functional Outcome ◽

Serious Injury

“Less-lethal” munitions are designed to cause incapacitation and are often used by law enforcement officers. Although these munitions are not designed to cause severe injury, recent reports have demonstrated that they can cause severe injury, permanent disability, and death. The long-term consequences of injury due to less-lethal munitions are not well understood. We present a case of osteomyelitis and pelvic abscess secondary to a retained beanbag munition following penetrating injury in the setting of a patient with delayed presentation for care. The patient underwent surgical removal of the retained beanbag munition and irrigation and debridement of the osteomyelitis and pelvic abscess with an excellent functional outcome. We discuss the public health and policy implications of serious injury due to less-lethal munitions.

Download Full-text

A three year old girl with undiagnosed perforated appendix and pelvic abscess presenting with acute urinary retention

International Journal of Surgery ◽

10.1016/j.ijsu.2015.07.127 ◽

2015 ◽

Vol 23 ◽

pp. S36

Author(s):

M. Christodoulidou ◽

M. Mokete

Keyword(s):

Urinary Retention ◽

Acute Urinary Retention ◽

Pelvic Abscess ◽

Perforated Appendix

Download Full-text

Definition of pelvic abscess

American Journal of Obstetrics and Gynecology ◽

10.1016/s0002-9378(13)70319-3 ◽

1994 ◽

Vol 170 (1) ◽

pp. 257

Author(s):

George H. Nelson

Keyword(s):

Pelvic Abscess ◽

Definition Of

Download Full-text

Acquired localised lipoatrophy secondary to transgluteal drainage

BMJ Case Reports ◽

10.1136/bcr-2021-242964 ◽

2021 ◽

Vol 14 (7) ◽

pp. e242964

Author(s):

Austin Hamp ◽

Jarett Anderson ◽

Arjun Bal ◽

Nate Hansen

Keyword(s):

Highly Active Antiretroviral Therapy ◽

Subcutaneous Fat ◽

Pelvic Abscess ◽

Previous Surgery ◽

Abscess Drainage ◽

Potential Side Effect ◽

Highly Active ◽

History Of ◽

Focal Fat ◽

Made In

Acquired localised lipoatrophy is a focal loss of subcutaneous fat, which is commonly secondary to trauma, injections of medications such as antibiotics or corticosteroids, pressure, previous surgery or panniculitis. We present a case of a patient who experienced focal fat loss in the left gluteal region from a previous left transgluteal drainage of a suspected abscess. There was no medical history of corticosteroid, antibiotic injection or use of highly active antiretroviral therapy. Lipoatrophy occurring as a consequence of a deep pelvic abscess drainage has not been reported in the literature; however, based on the lack of other aetiologies, the diagnosis of acquired localised lipoatrophy secondary to a transgluteal drainage was made in this patient. The aim of this report was to present this rare cause of lipoatrophy that has not previously been described and to acknowledge lipoatrophy as a potential side effect of a deep abscess drainage.

Download Full-text

Pelvic abscess as a rare presentation of a pseudomyxoma extrapritonei

Cirugía Andaluza ◽

10.37351/2019301.24 ◽

2019 ◽

Vol 30 (1) ◽

pp. 150-152

Author(s):

MP Gutiérrez Delgado ◽

I González Poveda ◽

M Ruiz López ◽

S Mera Velasco ◽

J Santoyo Santoyo

Keyword(s):

Pelvic Abscess ◽

Rare Presentation

Resumen Introducción: el pseudomixoma retroperitoneal es una entidad infrecuente, cuya etiología habitual es secundaria a crecimiento de implantes mucinosos procedentes del apéndice cecal a nivel retroperitoneal, sin implicación intraperitoneal en el momento del ingreso. Caso clínico: varón de 51 años parapléjico secundario a accidente de tráfico en la adolescencia que precisó múltiples intervenciones, incluyendo amputación abdominoperineal (AAP) con plastia perineal de músculo gracilis. Más de veinte años después ingresos frecuentes por abscesos pélvicos de repetición. Ingresa en esta ocasión por síndrome febril asociado a tumoración perineal, realizándose TC pélvico que objetiva lesión quística de 12 cm en localización presacra. Tras fracasar el tratamiento conservador (antibioterapia y drenaje percutáneo) se realiza exploración bajo anestesia general con drenaje parcial por vía perineal y toma de biopsia, evidenciando un adenocarcinoma mucinoso (pseudomixoma extraperitoneal). En la RMN de estadificación se objetiva infiltración de vejiga vs. próstata, realizándose cirugía de exéresis en bloque de la tumoración mediante abordaje abdominal y perineal. Discusión: existe poca evidencia científica sobre pseudomixomas extraperitoneales y la mayoría son secundarios a la ruptura de mucoceles apendiculares en tejidos extraperitoneales. En nuestro caso, la forma de presentación de esta patología es algo inusual y creemos que está relacionada con la persistencia de tejido mucoso no resecado de la amputación abdominoperineal previa.

Download Full-text

Haematogenous osteomyelitis: clinical presentation and outcome in three dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-10-07-0116 ◽

2011 ◽

Vol 24 (02) ◽

pp. 146-150 ◽

Cited By ~ 12

Author(s):

M. Rabillard ◽

L. Souchu ◽

G. W. Niebauer ◽

O. Gauthier

Keyword(s):

Clinical Presentation ◽

Clinical Signs ◽

Pelvic Abscess ◽

Sensitivity Testing ◽

Diagnostic Investigation ◽

Pathological Fractures ◽

Surgical Biopsy ◽

Biopsy Specimens ◽

Haematogenous Osteomyelitis

SummaryHaematogenous osteomyelitis is a rare form of bone infection in adult dogs. Most commonly the infection is iatrogenic or traumatic in origin. The authors report three different presentations of haematogenous osteomyelitis: a focal pelvic localisation in a growing dog, a vertebral lesion in an adult dog with associated neurological signs and a multifocal affection in another adult dog with concomitant pathological fractures.Clinical signs included pyrexia of undetermined origin, focal pain and lameness. Diagnostic investigation included radiographic imaging, bone scintigraphy, magnetic resonance imaging, surgical biopsy, and bacteriological culture with sensitivity testing of biopsy specimens as well as of peripheral blood samples. Treatment consisted of long-term antimicrobial therapy and surgical debridement with curettage of the pelvic abscess of the young dog and decompressive hemilaminectomy of the second dog, with excellent recovery. The dog affected by polyostotic bone involvement and suffering pathological fractures was euthanatized.Haematogenous osteomyelitis may be a diagnostic and therapeutic challenge and may present as a devastating skeletal condition, even in adult dogs, and should be considered amongst the differential diagnoses early on to allow effective treatment.

Download Full-text