Cases reported "pelvic infection"

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1/8. ureteral obstruction and reconstruction in pelvic actinomycosis.

    We present a case of ureteral obstruction secondary to pelvic actinomycosis. Despite stenting, prolonged antibiotic therapy, and debridement, the patient required ureteral resection and reconstruction. This condition may simulate advanced malignancy, and diagnostic suspicion lessens the need for radical extirpative surgery. ( info)

2/8. priapism caused by infection and an inflammatory process in the pelvic region.

    priapism caused by an inflammatory process is rare. We report on a 25-year-old man with priapism due to an infiltration in the pelvic region, enclosing the right sacral plexus. blood cultures revealed staphylococcus aureus to be the causal organism. Treatment consisted of parenteral antibiotics, aspiration of the corpora cavernosa and injection of epinephrine, resulting in a flaccid penis and full recovery of potency after 3 weeks. A literature review was conducted for infection and inflammatory processes as a cause for priapism. ( info)

3/8. A case of pelvic actinomycosis presenting as cutaneous fistula.

    actinomycosis of the female genital tract has greatly increased over the last two decades. A pelvic form of the disease, associated with the use of Intra-uterine Devices (IUD), can severely damage pelvic organs and even can lead to death. We report a case of pelvic actinomycosis presenting as cutaneous fistula. ( info)

4/8. Pelvic lymphocyst infection associated with maternally inherited diabetes mellitus.

    A 45-year-old woman with 20-year history of diabetes mellitus was admitted to our hospital because of high fever and abdominal pain. Radical hysterectomy and bilateral pelvic lymphadenectomy had been performed 4 months before admission for invasive cervical cancer. On admission, elastic hard tumors were palpable in the lower abdomen. Laboratory examination showed positive c-reactive protein (CRP), anemia and renal dysfunction. Computed tomography (CT) revealed several lymphocysts in the pelvis. She was diagnosed with infection of pelvic lymphocysts. Since her mother also had diabetes associated with deafness, we examined mitochondrial dna in leukocytes and detected an A to G transition at the nucleotide position of 3243 (A3243G mutation). She was diagnosed as maternally inherited diabetes mellitus and deafness (MIDD). Puncture of the cysts followed by administration of antibiotics resulted in marked improvement of symptoms and laboratory findings. This is a rare case of pelvic lymphocyst infection in a patient with a mitochondrial disorder. Although the exact mechanism of infection is not clear, MIDD may represent an unusual risk factor for infection, and further investigation is necessary to assess the influence of mitochondrial dysfunction on the immune system. Pelvic lymphocyst infection should be considered in the differential diagnosis of abdominal pain and fever in patients with MIDD after abdominal surgery. ( info)

5/8. The usefulness of Tc-99m-HMPAO-labeled leukocyte scintigraphy in the diagnosis of multiple intra-abdominal abscesses following in vitro fertilization (IVF) procedure.

    pelvic infection is a rare but well-known complication following IVF procedures with a reported incidence <1%. A case of multiple abdominal abscesses following IVF procedure was established by Tc-99m-HMPAO-labeled leukocyte scintigraphy and confirmed by laparotomy. This imaging technique should be recommended for early and precise diagnosis of pelvic infection following IVF. ( info)

6/8. Pelvic actinomycosis: still a cause for concern.

    Three cases of pelvic actinomycosis, which presented over a short period of time, are described. In all three cases the diagnosis was only considered following laparotomy, although there were characteristic diagnostic clues at presentation. In two cases imaging of the pelvis by ultrasound and computed tomography was unhelpful in distinguishing the condition from pelvic neoplasia. ( info)

7/8. abscess formation in the prevesical space and bilateral thigh muscles secondary to osteomyelitis of the pubis--basis of the anatomy between the prevesical space and femoral sheath.

    A 65-year-old man presented with abscess formation in the prevesical space and bilateral adductor muscles secondary to pubic osteomyelitis which was resolved by means of percutaneous drainage of the prevesical abscess. The pathway of abscess propagation can be explained on the basis of the anatomy between the prevesical space and femoral sheath. ( info)

8/8. Pelvic abscess due to ochrobactrum intermedium [corrected] in an immunocompetent host: case report and review of the literature.

    ochrobactrum intermedium [corrected] infection is rare in humans and is generally associated with immunocompromised hosts with indwelling foreign bodies. We report a case of pelvic abscess with O. intermedium [corrected] after a routine appendectomy in an immunocompetent patient and review the literature on O. intermedium [corrected] infection in patients with normal immune function. ( info)

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