1/6. Spectrum of abdominal and pelvic infections caused by pneumococci in previously healthy adult women.Eleven cases of pneumococcal infection of abdominal and pelvic origin that occurred in previously healthy adults are described. All cases occurred in women who were admitted to a county hospital in norway with acute abdominal symptoms such as pain, nausea, vomiting and diarrhea. Explorative laparotomy was performed in eight patients. Three patients had diffuse peritonitis and seven cases were classified as pelvic inflammatory disease; five of these seven patients had pelvic peritonitis. All patients but one were treated with antibiotics, and all survived without long-term sequelae. Although abdominal and genital infections caused by pneumococci are rare, their potential occurrence should not be neglected.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
2/6. Perisplenitis and perinephritis in the Curtis-Fitz-Hugh syndrome.Four cases of the Curtis-Fitz-Hugh syndrome diagnosed laparoscopically and with microbiological or serological evidence of chlamydial pelvic infection are reviewed. The case histories emphasize the part played by renal angle and left upper quadrant symptoms. In one patient the surface of the spleen was affected by the same classical inflammation normally seen on the surface of the liver. In 3 patients bilateral or left-sided renal angle pain and tenderness constituted the presenting features, or a major manifestation, and in all patients renal tract investigations were entirely normal. The patient with laparoscopic perisplenitis also had perihepatitis and pelvic inflammation, the latter being florid in all cases. Perisplenitis and perinephritis are proposed as possible additional manifestations of this syndrome.- - - - - - - - - - ranking = 0.25keywords = pelvic infection (Clic here for more details about this article) |
3/6. Severe pelvic infection from chlamydia trachomatis after cesarean section.A severe pelvic infection developed in a 17-year-old primigravida after a cesarean section. Multiple antibiotics were administered for presumed mixed aerobic and anaerobic infections, without improvement. Subsequently, total hysterectomy and bilateral salpingo-oophorectomy were performed. Despite negative standard cultures, her condition continued to deteriorate and she required two more exploratory laparotomies for suspected intra-abdominal abscesses. Chlamydia trachomatis and, subsequently, candida albicans were recovered from cultures of peritoneal fluid obtained after the third operation. Serological tests confirmed the presence of acute chlamydial infection. Marked clinical improvement occurred after doxycycline hyclate administration. Although genitourinary and acute pelvic inflammatory diseases due to chlamydiae have been reported previously, no case of severe pelvic infection due to this agent after cesarean section had been described, to our knowledge. Specimens should be studied specifically for chlamydiae when standard cultures demonstrate no pathogens in women suffering from documented pelvic infection.- - - - - - - - - - ranking = 1.75keywords = pelvic infection (Clic here for more details about this article) |
4/6. Fatal peritonitis following IUD-associated salpingitis.Previous reports have implicated the Dalkon shield intrauterine device (IUD) in septic second trimester abortion and maternal death from sepsis. In the case reported here, fusobacterium necrophorum, a rarely pathogenic vaginal anaerobe, gained access to the uterus in a woman wearing a Dalkon shield and caused acute parametritis, overwhelming peritonitis, systemic sepsis, and death. It is well known that IUDs can contribute to the development of serious pelvic infections, and in this case it is possible that the Dalkon shield was the cause of the ascending infection into the uterus.- - - - - - - - - - ranking = 0.25keywords = pelvic infection (Clic here for more details about this article) |
5/6. Severe pelvic inflammatory disease and peritonitis following Falope Ring tubal ligation. Case report and review of the literature.A case of severe pelvic inflammatory disease and peritonitis following Falope Ring tubal ligation is described. Pelvic viscera appeared normal at the time of laparoscopy. Severe pelvic inflammatory disease and peritonitis should be included in the differential diagnosis of patients presenting with significant abdominal pain following Falope Ring tubal ligation. The problem of serious pelvic infection following Falope Ring tubal ligation is reviewed.- - - - - - - - - - ranking = 0.25keywords = pelvic infection (Clic here for more details about this article) |
6/6. peritonitis due to colonic ileus after cesarean section. A report of two cases.Delayed "primary" peritonitis after cesarean section is very uncommon. In two patients, generalized peritonitis occurred two to three weeks after uneventful operations. Exploratory laparotomies in both cases revealed generalized peritonitis, with massive colonic dilation that was suggestive of pseudo-obstruction as the only positive finding. There was no evidence of perforation or mechanical obstruction, or of ascending pelvic infection. The cause of peritonitis could be "toxic megacolon" due to pseudo-obstruction.- - - - - - - - - - ranking = 0.25keywords = pelvic infection (Clic here for more details about this article) |