scholarly journals Transvaginal Drainage of Pelvic Abscesses and Collections Using Transabdominal Ultrasound Guidance

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Kevin C. Ching ◽  
Jules H. Sumkin
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Retrospective Review ◽  
Ultrasound Guidance ◽  
Positive Culture ◽  
Transabdominal Ultrasound ◽  
Catheter Drainage ◽  
The Mean ◽  
Fluid Collections ◽  
Microbial Sampling

Objectives. To evaluate clinical outcomes following transvaginal catheter placement using transabdominal ultrasound guidance for management of pelvic fluid collections.Methods. A retrospective review was performed for all patients who underwent transvaginal catheter drainage of pelvic fluid collections utilizing transabdominal ultrasound guidance between July 2008 and July 2013. 24 consecutive patients were identified and 24 catheters were placed.Results. The mean age of patients was 48.1 years (range = 27–76 y). 88% of collections were postoperative (n=21), 8% were from pelvic inflammatory disease (n=2), and 4% were idiopathic (n=1). Of the 24 patients, 83% of patients (n=20) had previously undergone a hysterectomy and 1 patient (4%) was pregnant at the time of drainage. The mean volume of initial drainage was 108 mL (range = 5 to 570). Catheters were left in place for an average of 4.3 days (range = 1–17 d). Microbial sampling was performed in all patients with 71% (n=17) returning a positive culture. All collections were successfully managed percutaneously. There were no technical complications.Conclusions. Transvaginal catheter drainage of pelvic fluid collections using transabdominal ultrasound guidance is a safe and clinically effective procedure. Appropriate percutaneous management can avoid the need for surgery.

scholarly journals Retrospective Review of Gonococcal and Chlamydial Cases of Pelvic Inflammatory Disease in Two Canadian STI Clinics, 2004–2014

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Justin Chen ◽  
Jennifer Gratrix ◽  
Judith Brandley ◽  
Petra Smyczek ◽  
Penny Parker ◽  
...  
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Retrospective Review

scholarly journals Adjuvant urokinase: percutaneous drainage of post lower segment cesarean section intra-abdominal abscess

2019 ◽  
Vol 8 (5) ◽  
pp. 2125
Author(s):  
Shweta Avinash Khade ◽  
Balaji Jadhav ◽  
Preeti Meena
Keyword(s):  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Fluid Collection ◽  
Bleeding Complications ◽  
Abdominal Abscess ◽  
Catheter Drainage ◽  
Safe Alternative ◽  
Lower Segment Cesarean Section ◽  
Fluid Collections

The mortality in abdominal abscess is high, however the outcome has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, and site.  The single abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters.  Percutaneous drainage provides an effective and safe alternative to more invasive surgical drainage but the success rate is lower for abscesses that have septa and are multilocular. Several clinical and in vitro studies suggest urokinase may be useful in such cases. To the knowledge, however, there has been no case of post LSCS intra-abdominal abscess in which intracavitary urokinase was administered. Therefore, we report a case of post LSCS multiseptated intra-abdominal abscess occurring in a 21-year-female. Conventional percutaneous tube drainage failed, but the use of transcatheter intracavitary urokinase was successful.  Our results showed no significant change in hematologic studies and no bleeding complications. Intracavitary urokinase can be given safely during percutaneous drainage of an abscess, with no associated bleeding complications or changes in coagulation parameters.

scholarly journals CU-375 (MULTILOAD)

2006 ◽  
Vol 13 (02) ◽  
pp. 211-215
Author(s):  
AISHA SIDDIQA ◽  
KAUSAR MASOOM
Keyword(s):  
Menstrual Cycle ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Vaginal Bleeding ◽  
Vaginal Discharge ◽  
Descriptive Study ◽  
Heavy Menstrual Bleeding ◽  
Contraceptive Device ◽  
The Mean ◽  
Effective Contraceptive

Objectives: To study the complications associated with the use of multi-load CU375 and reasonsfor discontinuing its use. Design: Descriptive Study. Place and duration of study: From 10th January 2002 to 10thJanuary 2004. Private Clinic: Saleem Medical Complex Quetta. Patients & Methods: The study populationincluded 100 women aged 22 – 35 years requiring contraception in the form of multi-load CU 375. Patients and insome cases their husbands were counseled and selected according to a pre-set proforma. Results: Out of 100patients the mean age of the acceptors was 30 years and mean parity was 4. Insertion of the device was very easy,main complications were disturbed menstrual cycle, heavy menstrual bleeding experienced by 40%, inter-menstrualspotting by 8% and continuous vaginal bleeding by 3%, 2% of the patients had gestational ammenorrhea of 8 &12weeks. Vaginal discharge was complained of by 10%. There were two expulsions and 7 removals, reasons forremoval were metrorrhagia, menorrhagia, pain and spotting in most cases. There were no cases of perforation orectopic pregnancy. Conclusion: It was concluded that multi-load CU 375 is an effective contraceptive device withmenstrual irregularities and pelvic inflammatory disease being the main complications and principle causes forremoval of IUCD.

scholarly journals Management of Liver Abscess in Children: Our Experience

2017 ◽  
Vol 7 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Mukta Waghmare ◽  
Hemanshi Shah ◽  
Charu Tiwari ◽  
Kiran Khedkar ◽  
Suraj Gandhi
Keyword(s):  
Liver Abscess ◽  
Ultrasound Guidance ◽  
Pediatric Population ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Average Volume ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Disposable Needle ◽  
The Mean

ABSTRACT Introduction Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient. Materials and methods A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment. Results The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess. Conclusion Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases. How to cite this article Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.

Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

2021 ◽  
pp. 66-74
Author(s):  
Emmanuel Okwudil Oranu ◽  
Gregory Ifechukwude Oyiana
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Teaching Hospital ◽  
Inflammatory Disease ◽  
P Value ◽  
Secondary Infertility ◽  
Port Harcourt ◽  
The Mean ◽  
Socio Demographic Factors ◽  
The University ◽  
The Relationship

Background: Secondary Infertility is viewed as a social stigma, especially in Nigeria, due to the high premium placed on procreation. Observation suggests that this condition is on the increase in our environment. Hence, the need to determine the pattern and the relationship between the socio-demographic factors with infective causes of this condition; which will subsequently allow the tailoring of the individual investigation and subsequent treatment. Objective: To determine the prevalence and pattern as well as the relationship between the socio-demographic factors with infective causes of secondary infertility among women who attended the gynaecological clinic of the University of Port Harcourt Teaching Hospital (UPTH) between January 2012 and December 2016 Methods: This is a retrospective descriptive study design, based on findings from the folders, admission and outpatient registers, of infertile couples presenting at the gynaecology clinic of the University of Port Harcourt Teaching Hospital, over a five-year period (January 2012 – December 2016). Data were collected from all documented and laboratory findings. The data extracted from the case records were the socio-demographic characteristics of the patient, the duration of infertility as well as the causes. They were analyzed using SPSS version 20. Results: The mean age of women was 33.14±4.93 years. The prevalence of secondary infertility was 12% of all outpatient gynaecological consultation. The mean duration of secondary infertility was 3 years. The infective causes of secondary infertility [recurrent pelvic inflammatory disease(PID), sexually transmitted infections(STI), post abortal sepsis, puerperal sepsis, HIV/AIDS, mumps orchitis were commoner among the 31-40 years’ category, (45.8%), the infective causes were also commoner among women with primary level of education, (62.5%, p-value=0.001) as well as women who were self-employed (49%, p-value=0.041). Recurrent pelvic inflammatory disease was identified in majority of cases (37.1%). Abnormal semen analysis, hyper-prolactinaemia and uterine fibroid, also contributed significantly to infertility; 18.5%, 19.7% and 24.3% respectively. Conclusion:  Infective causes are at the root cause of secondary infertility; the more educated the couple, the higher their socioeconomic status, the lesser the impact of infection on secondary infertility.

Diagnostik und Therapie der Adnexitis (Pelvic Inflammatory Disease)

2020 ◽  
Vol 77 (4) ◽  
pp. 164-170
Author(s):  
Franziska Siegenthaler ◽  
Elke Krause ◽  
Michael D. Mueller
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Diagnostik Und Therapie ◽  
Operative Exploration

Zusammenfassung. Die Adnexitis, im anglo-amerikanischen Sprachgebrauch hat sich der Sammelbegriff Pelvic Inflammatory Disease (PID) durchgesetzt, stellt ein häufiges medizinisches Problem dar. Die Diagnose einer PID kann schwierig sein, da die klinischen Manifestationen unspezifisch sind und sie andere Becken- und Bauchprozesse imitieren können. Infektionen im Bereich der Adnexen können schwerwiegend sein und Langzeitkomplikationen (chronische Unterbauchschmerzen, Infertilität) verursachen, weshalb eine rasche Diagnosestellung und der frühzeitige Beginn einer adäquaten Antibiotika Therapie von grosser Wichtigkeit sind. Unkomplizierte PID haben meistens einen günstigen Verlauf, bei komplizierten Formen mit Tuboovarialabzess ist meist eine operative Exploration notwendig.

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