Pelvic Inflammatory Disease in the Form of Peritoneal Abscess Complicating Late Pregnancy

Navada, H. Mahesha; Bhat, Balachandra

doi:10.1155/2011/851598

Cited by 6 publications

(5 citation statements)

References 3 publications

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“…4,5,33 In most cases, TOA during pregnancy is not suspected preoperatively, definitive diagnosis is made during laparotomy or C-section. 8,34 Surprisingly, similar to almost published cases, no signs or symptoms suggested to pelvic abscess were observed during hospitalization in our patient. Our case of abscess mass discovered by radiological modalities such as ultrasound and MRI.…”

supporting

confidence: 88%

An extremely rare case of ovarian abscess in third trimester of pregnancy managed by successful vaginal birth and review of literature

Vuong

Nguyen

2022

Int J Reprod Contracept Obstet Gynecol

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Ovarian abscess (OA) in pregnancy is actually rare occurrence, almost unheard, which associated with poor prognosis for mother and fetus. This diagnostic dilemma is often difficult to be elucidated because of anatomical changes in pregnancy. It was established incidentally by obstetric ultrasound or during cesarean section performed for an obstetric indication. Specially, the presentation of adnexal abscess is very hard to distinguish from appendical abscess. In this report, we presented a 20-year-old woman (G0P0) at 33-34 weeks of gestation was admitted to the clinic of our hospital with a pelvic abnormal tumour accompanied by fetal growth restriction. The patient was indicated for serial laboratory examination, which showed a right abnormal adnexal mass. At hospitalization, the patient was mostly asymptomatic so she was followed by medical treatment and by an expectant management. The surveillance was strictly controlled without complications, except intrauterine growth restriction associated with pregnancy. The patient received a conservative management and gave a well-being infant at 36-37 weeks of gestation by vaginal delivery. Twelfth days after delivery, she underwent a laparoscopic operation to remove the abscess mass. Preventive treatment is also a major importance. This report describes the clinical features and results of the case with an ovarian abscess detected in the 3rd trimester without adverse sequelae and compared to the recurrent knowledge based on the literature regarding the advanced management of OA involved in pregnancy. Through this report, we aim to carry out a literature review in order to discuss these clinical manifestations of OA, optimize the importance in definitive diagnosis and underline the appropriate treatment of an individual case.

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supporting

confidence: 88%

An extremely rare case of ovarian abscess in third trimester of pregnancy managed by successful vaginal birth and review of literature

Vuong

Nguyen

2022

Int J Reprod Contracept Obstet Gynecol

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“…6 A case reported by Mahesha Navada resemble the present study, however, their patient did not present with such severe symptoms of recurrent sub-acute intestinal obstruction. 7 Pelvic infection during pregnancy may occur either due to chronic pelvic infection existing before pregnancy or may be due to spread from the adjacent organs such as intestinal perforations as stated before, however, in our patient there were no signs of intestinal perforation or ruptured appendix. Pre-existing salpingitis or previously ruptured tubo-ovarian abscess could not be ruled out as there was dense adhesion of the bilateral adnexa over the presacral region.…”

Section: Discussionsupporting

confidence: 40%

Severe PID with sub-acute intestinal obstruction during third trimester of pregnancy: a rare presentation

Lucksom¹,

Thatal²,

Rai³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Pelvic inflammatory disease (PID) during late pregnancy is rare. Authors report a case of severe PID manifesting as subacute intestinal obstruction at early third trimester of pregnancy. A 26 years woman at 28 weeks of gestation was admitted in OBG department of Central Referral Hospital (CRH), Sikkim for evaluation of pain in left hypochondrium with tachycardia and mild rise in temperature. Her WBC was 26,900/cmm while urine and blood cultures were sterile. USG showed single live gestation of 27weeks 3days with a heterogeneous mass suggestive of degenerative fibroid. She had recurrent episodes of subacute intestinal obstructions. Her condition deteriorated, hence, elective caesarean with exploratory laparotomy was done. Single live baby was delivered after which abdominal exploration revealed purulent ascites with multiple pockets of pus. Omental cake along with the bowel was adhered to the fundus of uterus. There was no area of perforation in the gut. Bilateral adnexa were adherent to the pre-sacral region which was densely adhered to underlying great vessels. Post operatively antibiotic to cover the anaerobic bacteria were given to which she responded. Baby died after 4 days of birth due to sepsis. One week after discharge she was readmitted with left sided pleural effusion which responded to antibiotics. PID should be considered a cause of abdominal pain and rise in temperature in pregnancy, as early diagnosis can be managed conservatively with antibiotics thus decreasing maternal and perinatal morbidity and mortality.

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“…Dentro de las causas de obstrucción intestinal mecánica que complican la gestación se encuentran, en orden de frecuencia, las bridas y adherencias secundarias a intervenciones quirúrgicas previas (60-70%) y las cirugías pélvicas o procesos inflamatorios intraabdominales, seguidas de los vólvulos de intestino grueso (sigmoides y ciego) y de los del intestino delgado, que representan solo el 9% de los casos (3) . Otras causas incluyen la invaginación intestinal, hernias complicadas, bridas congénitas, divertículos de Meckel, cáncer y procesos inflamatorios del intestino (4) . Clínicamente estas pacientes cursan con dolor abdominal, náuseas, vómitos y estreñimiento.…”

Section: Introductionunclassified

“…Analíticamente pueden presentar leucocitosis con neutrofilia, aunque esta es muy inespecífica. La radiografía simple de abdomen muestra patrones radiológicos de obstruccioń en 80-91% de los casos (4) . La ecografía puede ayudar en el diagnóstico diferencial y confirmar la presencia de líquido libre en cavidad abdominal (5) .…”

Section: Introductionunclassified

“…El problema fundamental es el retraso en el diagnóstico, lo que lleva a la presentación de alguna de las complicaciones antes mencionadas siendo necesaria la resección de la porción afectada e incluso una colostomía en el caso de que se haya establecido una isquemia intestinal irreversible y sea un asa intestinal baja (3,4) . La isquemia intestinal es la condición clínica que aparece cuando el flujo sanguíneo del territorio mesentérico resulta insuficiente para satisfacer los requerimientos del intestino (7) .…”

Section: Introductionunclassified

See 1 more Smart Citation

Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

et al. 2019

Rev. chil. obstet. ginecol.

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El dolor abdominal en gestantes supone un diagnóstico complejo por el múltiple diagnóstico diferencial que existe. Es necesaria la realización de un diagnóstico precoz para reducir el número de complicaciones. Para ello, nos apoyamos no sólo en criterios clínicos si no en pruebas de imagen como la resonanacia magnética nuclear. Nuestro objetivo es la realización de una revisión bibliográfica sobre el dolor abdominal en gestantes, centrándonos en la obstrucción intestinal, a propósito de un caso de una gestante con dolor abdominal agudo a la que se le diagnosticó de isquemia intestinal secundaria a obstrucción intestinal por brida postquirúrgica. La obstrucción intestinal es una causa infrecuente y potencialmente grave de dolor abdominal agudo en gestantes, que cursa con clínica insidiosa y que precisa cirugía como tratamiento.

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Pelvic Inflammatory Disease in the Form of Peritoneal Abscess Complicating Late Pregnancy

Cited by 6 publications

References 3 publications

An extremely rare case of ovarian abscess in third trimester of pregnancy managed by successful vaginal birth and review of literature

An extremely rare case of ovarian abscess in third trimester of pregnancy managed by successful vaginal birth and review of literature

Severe PID with sub-acute intestinal obstruction during third trimester of pregnancy: a rare presentation

Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

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