sultamicillin and Abdominal-Pain

Tubo-ovarian abscesses (TOAs) are inflammatory masses involving the fallopian tube, ovary and occasionally other adjacent pelvic organs. A 32-year-old woman with no significant medical history presented with a chief complaint of lower abdominal pain. Initial CT of the abdomen was suggestive of a colon abscess; however, a repeat CT suggested a TOA. The left ovary was densely adherent to the left pelvic sidewall and the rectosigmoid colon. The content of the ovary was consistent with a dermoid and suspected of superinfection. Pathological examination of the tissue revealed normal ovarian cortical tissue, hair cells, melanin, and epidermal and neural tissue, as well as evidence of a foreign object resembling vegetable matter. The vegetable fibre found in this patient's biopsy was of an unclear aetiology, but probably indicates a perforation of the bowel. Any cause of bowel perforation adjacent to the adnexa can lead to TOA, therefore providing a rational speculation for this case.

Topics: Abdominal Pain; Abscess; Adult; Ampicillin; Anti-Bacterial Agents; Dermoid Cyst; Doxycycline; Fallopian Tube Diseases; Female; Humans; Intestinal Perforation; Laparoscopy; Ovarian Diseases; Ovariectomy; Ovary; Sulbactam; Superinfection; Tomography, X-Ray Computed; Treatment Outcome

Persistent fever and unspecific general symptoms need a complete and detailed medical history and search for infection. We report on a case of amebiasis with liver abscesses of a 26-year-old man. He had stayed several weeks in India and South America. After being free of complaints for 4 months, unspecific general symptoms and fever appeared. Due to proven liver abscesses, a combination treatment was given. Within 12 days, he was free of symptoms and could be discharged.

Topics: Abdominal Pain; Adult; Amebicides; Ampicillin; Drug Therapy, Combination; Entamoeba histolytica; Fever of Unknown Origin; Humans; Liver Abscess, Amebic; Male; Metronidazole; Paromomycin; Sulbactam; Travel; Treatment Outcome

A 10-year-old boy presented with a 2.5-week history of right leg pain and limp. A right flank mass was noted by a parent on the day of presentation. The child's past medical history was remarkable for perforated appendicitis treated with an interval laparoscopic appendectomy 2 years before this presentation. Abdominal and pelvic computed tomography revealed a retroperitoneal mass with calcifications, suggestive of a retained appendicolith with abscess formation. This case illustrates the importance of considering very late complications of appendicitis in patients presenting with fever and abdominal or flank pain or masses.

Topics: Abdominal Pain; Ampicillin; Appendectomy; Appendicitis; Bacteroides fragilis; Bacteroides Infections; Calcinosis; Child; Combined Modality Therapy; Diagnosis, Differential; Drainage; Edema; Fever; Humans; Laparoscopy; Lithiasis; Male; Movement Disorders; Postoperative Complications; Psoas Abscess; Retroperitoneal Neoplasms; Retroperitoneal Space; Streptococcal Infections; Streptococcus constellatus; Sulbactam