Salmonella ovarian abscess in young girl presented as acute abdomen--case report

Miksić Gorišek, Nina and Orešković, Slavko and But, Igor (2011) Salmonella ovarian abscess in young girl presented as acute abdomen--case report. Collegium Antropologicum, 35 (1). pp. 223-5. ISSN 0350-6134

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Abstract

Ovarian abscess in young sexually non-active girls can represent a diagnostic challenge. 15-years old girl was admitted to the Clinic for Gynaecology and Obstetrics under the suspicion of torsion of an ovarian cyst. Her clinical status deteriorated after the admission with development of acute abdomen. Laparoscopic exploration was performed and unilateral ovarian abscess was found without involvement of other pelvic structures. The surgical procedure was minimal invasive for a young girl and Salmonella staleyville was isolated from pus. Solitary ovarian abscess can be of hematogenous origin and the causative pathogens are different from pathogens usually involved in pelvic inflammatory disease. To avoid later fertility problems it is of great importance to treat infections in pelvic region correctly according to the isolated microorganism and that surgery is the least invasive.

Abstract in Croatian

SALMONELLA OVARIJSKI APSCES U MLADE DJEVOJKE SA SLIKOM AKUTNOG ABDOMENA: PRIKAZ SLUČAJA ----- Ovarijski apsces u spolno neaktivnih djevojaka može predstavljati dijagnostički izazov. Petnaestogodišnja djevojka primljena je u Kliniku za ginekologiju i porodništvo pod sumnjom torzije ciste jajnika. Njeno kliničko stanje pogoršalo se nakon prijama razvojem akutnog abdomena. Učinjena je laparoskopska eksploracija te je nađen jednostrani ovarijski apsces bez zahvaćenosti drugih struktura zdjelice. Kirurški postupak za mladu djevojku je bio minimalno invazivan, a iz gnoja je izolirana Salmonella staleyville. Solitarni ovarijski apsces može biti hematogenog podrijela i uzočnici su različiti od patogena koji su obično uključeni u upalnu bolest zdjelice. Kako bi se izbjegli kasniji problemi plodnosti žena, od velike je važnosti ciljano liječiti upale zdjelične regije ovisno o izoliranom mikroorganizmu kao i primjena minimalno invazivnog kirurškog postupka.

Item Type: Article
MeSH: Abdomen, Acute/diagnosis ; Abdomen, Acute/drug therapy ; Abdomen, Acute/microbiology ; Abdominal Abscess/diagnosis ; Abdominal Abscess/drug therapy ; Abdominal Abscess/microbiology ; Adolescent ; Anti-Bacterial Agents/therapeutic use ; Diagnosis, Differential ; Female ; Humans ; Ovarian Diseases/diagnosis ; Ovarian Diseases/drug therapy ; Ovarian Diseases/microbiology ; Pelvic Infection/diagnosis ; Pelvic Infection/drug therapy ; Pelvic Infection/microbiology ; Salmonella/isolation & purification ; Salmonella Infections/diagnosis ; Salmonella Infections/drug therapy ; Salmonella Infections/microbiology
Departments: Katedra za ginekologiju i opstetriciju
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Miksić Gorišek, NinaUNSPECIFIED
Orešković, SlavkoUNSPECIFIED
But, IgorUNSPECIFIED
Date: March 2011
Date Deposited: 03 Nov 2011 12:26
Last Modified: 03 Nov 2011 12:26
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/1372

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