Pelvic Abscess Formation Secondary to the Use of Commercial Hemostatic Topical Agent in an Immune Compromised Patient?

A 76 year old Chinese woman presented with a pelvic abscess, secondary to perforated carcinoma of the jejunum. Plain abdominal radiograph showed a mottled lesion which corresponded to the site of the perforated tumour seen on CT and confirmed during laparotomy. The clinical and imaging features of carcinoma of the jejunum are briefly reviewed.

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Severe pelvic abscess formation following caesarean section

BMJ Case Reports ◽

10.1136/bcr-2014-208628 ◽

2015 ◽

Vol 2015 (apr23 1) ◽

pp. bcr2014208628-bcr2014208628 ◽

Cited By ~ 3

Author(s):

D. A. Muin ◽

M. T.-L. Takes ◽

I. Hosli ◽

O. Lapaire

Keyword(s):

Caesarean Section ◽

Pelvic Abscess ◽

Abscess Formation

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Neonatal necrotising fasciitis and late maternal pelvic abscess formation. A late complication of group A Streptococcus

Journal of Obstetrics and Gynaecology ◽

10.1080/01443610500051320 ◽

2005 ◽

Vol 25 (2) ◽

pp. 197-198 ◽

Cited By ~ 2

Author(s):

AN Griffiths ◽

AA Sudhahar ◽

M Ashraf

Keyword(s):

Group A Streptococcus ◽

Late Complication ◽

Pelvic Abscess ◽

Abscess Formation ◽

Necrotising Fasciitis ◽

Group A

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Role of Drains in Laparoscopic Appendectomy for Complicated Appendicitis at a Busy County Hospital

The American Surgeon ◽

10.1177/000313481408001036 ◽

2014 ◽

Vol 80 (10) ◽

pp. 1078-1081 ◽

Cited By ~ 5

Author(s):

Andrea M. Pakula ◽

Ruby Skinner ◽

Amber Jones ◽

Ray Chung ◽

Maureen Martin

Keyword(s):

Laparoscopic Appendectomy ◽

Perforated Appendicitis ◽

Pelvic Abscess ◽

Abscess Formation ◽

White Blood Count ◽

Patient Demographics ◽

Gangrenous Appendicitis ◽

Group I ◽

Drain Group ◽

Group Ii

Laparoscopic appendectomy (LA) has become the treatment of choice for acute appendicitis with equal or better outcomes than traditional open appendectomy (OA). LA in patients with a gangrenous or perforated appendicitis carries increased rate of pelvic abscess formation when compared with OA. We hypothesized routine placement of pelvic drains in gangrenous or perforated appendicitis decreases pelvic abscess formation after LA. Three hundred thirty-one patients undergoing LA between January 2007 and June 2011 were reviewed. Patients with perforated or gangrenous appendicitis were included. Group I had a Jackson-Pratt (JP) drain(s) placed and Group II had no JP drain. Data included patient demographics, emergency department laboratory values and vital signs, and computed axial tomography scan findings, intra-abdominal or pelvic abscess postoperatively, interventional radiology drainage, and length of stay. Clinic follow-up notes were reviewed. One hundred forty-eight patients were identified. Forty-three patients had placement of JP drains (Group I) and 105 patients had no JP drain (Group II). Three patients (three of 43 [6%]) in Group I developed pelvic abscess and 21 of 105 (20%) patients in Group II developed pelvic abscesses requiring subsequent drainage. This was statistically significant. Patient demographics, temperature, and mean white blood count before surgery were similar. Presurgery computed tomography (CT) with appendicolith and CT with abscess were more prevalent in Group I. The use of JP drainage in patients with perforated or gangrenous appendicitis during LA has decreased rates of pelvic abscess. This was demonstrated despite the drain group having appendicolith or abscess on preoperative CT.

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