Case report. Pelvic inflammatory disease as a complication of acute appendicitis
DOI:
https://doi.org/10.17533/udea.iatreia.84Keywords:
Appendectomy, Pelvic Inflammatory Disease, SalpingitisAbstract
Introduction: Acute appendicitis is a frequent cause of abdominal pain and its most frequent complication is surgical site infection, with pelvic involvement being very rare. The following is a case of a patient with pelvic inflammatory disease as postoperative complication after appendectomy. The patient was admitted for abdominal pain several weeks after an appendectomy, without signs of incisional surgical site infection but with a CT scan that reported a left hydrosalpinx. The patient progresses with clinical deterioration despite resuscitation with crystalloids and broad-spectrum antibiotics. A laparotomy was performed for infection control. A left hydrosalpinx was found and needed a second surgery due to right adnexal involvement. After this she recovered.
Conclusion: Pelvic inflammatory disease is a rare but possible etiology of the acute abdomen in patients who’s never had sexual intercourse.
Downloads
References
(1) Ceresoli M, Zucchi A, Allievi N, Harbi A, Pisano M, Montori G, et al. Acute appendicitis: Epidemiology, treatment and outcomes- analysis of 16544 consecutive cases. World J Gastrointest Surg. 2016;8(10):693-699. DOI 10.4240/wjgs.v8.i10.693.
(2) Fernández ZR. Complicaciones de la apendicectomía por apendicitis aguda. Rev Cuba Cir. 2010;49(2).
(3) Solomon M, Tuchman L, Hayes K, Badolato G, Goyal MK. Pelvic Inflammatory Disease in a Pediatric Emergency Department: Epidemiology and Treatment. Pediatr Emerg Care. 2019;35(6):389-390. DOI 10.1097/PEC.0000000000001148.
(4) Dewitt J, Reining A, Allsworth JE, Peipert JF. Tuboovarian abscesses: is size associated with duration of hospitalization & complications? Obstet Gynecol Int. 2010;2010:847041. DOI 10.1155/2010/847041.
(5) STDs in Adolescents and Young Adults - 2018 Sexually Transmitted Diseases Surveillance [Internet]. [cited 2020 Jan 26]. Available from: https://n9.cl/q26zk
(6) Simms I, Stephenson JM. Pelvic inflammatory disease epidemiology: What do we know and what do we need to know? Sex Transm Infect. 2000;76(2):80–7. DOI 10.1136/sti.76.2.80.
(7) Brunham RC, Gottlieb SL, Paavonen J. Pelvic inflammatory disease. N Engl J Med. 2015;372(21):2039–48. DOI 10.1056/NEJMra1411426.
(8) Tuncer ZS, Boyraz G, Yücel SÖ, Selçuk I, Yaziciolu A. Tuboovarian abscess due to colonic Diverticulitis in a virgin patient with morbid obesity: A case report. Case Rep Med. 2012;2012. DOI 10.1155/2012/413185.
(9) Hartmann KA, Lerand SJ, Jay MS. Tubo-ovarian Abscess in Virginal Adolescents: Exposure of the Underlying Etiology. J Pediatr Adolesc Gynecol. 2009 Jun 1;22(3):e13–6. DOI 10.1016/j.jpag.2008.03.006.
(10) Mills D, Sharon B, Schneider K. Streptococcus constellatus Tubo-ovarian Abscess in a Non-Sexually Active Adolescent Female. Pediatr Emerg Care. 2018 Jun 1;34(6):e100–1. DOI 10.1097/PEC.0000000000000753.
(11) Niyogi A, Dalton J, Clarke S, Stafford M. Recurrent unilateral hydrosalpinx: A rare complication of acute perforated appendicitis. Arch Gynecol Obstet. 2009 Nov 3;280(5):835–8. DOI 10.1007/s00404-009-1012-5.
(12) Alumbreros-Andújar MA, Aguilar-Galán EV, Pérez-Parra C, Céspedes-Casas C, Ramírez-Gómez M, González-López A. Enfermedad inflamatoria pélvica causada por el síndrome de HerlynWerner-underlich. Cir Cir. 2014;82:448-52.
(13) Fein DM, Sellinger C, Fagan MJ. Acute Salpingitis in a Nonsexually Active Adolescent. Pediatr Emerg Care. 2015;31(12):853-855. DOI 10.1097/PEC.0000000000000631.
(14) Williams T, Perkins R. Tubo-Ovarian Abscess in a Virginal Adolsecent with a History of Appendectomy: A Case Report. J Pediatr Adolesc Gynecol. 2016;29(2):205. DOI 10.1016/j.jpag.2016.01.107.
(15) Cho HW, Koo YJ, Min KJ, Hong JH, Lee JK. Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review. J Pediatr Adolesc Gynecol. 2017;30(2):203–8. DOI 10.1016/j.jpag.2015.08.001.
(16) Sartelli M, Catena F, Coccolini F, Pinna AD. Antimicrobial management of intra-abdominal infections: Literature’s guidelines. World J Gastroenterol. 2012 Mar 7;18(9):865–71. DOI 10.3748/wjg.v18.i9.865.
(17) Jaramillo-Mejía MC, Chernichovsky D. Early adolescent nchildbearing in colombia: Time-trends and consequences. Cad Saude Publica. 2019 Jan 1;35(2). DOI 10.1590/0102-311x00020918.
(18) Adams JA, Botash AS, Kellogg N. Differences in Hymenal Morphology between Adolescent Girls With and Without a History of Consensual Sexual Intercourse. Arch Pediatr Adolesc Med. 2004 Mar 1;158(3):280–5. DOI 10.1001/archpedi.158.3.280.
(19) Kellogg ND, Menard SW, Santos A. Genital anatomy in pregnant adolescents: “normal” does not mean “nothing happened”. Pediatrics. 2004 Jan;113(1 Pt 1):e67-9. DOI /10.1542/peds.113.1.e67.
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Papers published in the journal are available for use under the Creative Commons license, specifically Attribution-NonCommercial-ShareAlike 4.0 International.
The papers must be unpublished and sent exclusively to the Journal Iatreia; the author uploading the contribution is required to submit two fully completed formats: article submission and authorship responsibility.
