1. Sepsis Secondary to Bacteroides Fragilis Tubo-Ovarian Abscess Requiring Hysterectomy and Bilateral Salpingo-Oophorectomy.
- Author
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Feuerstein JL, O'Gorman J, and Jakus J
- Subjects
- Abscess microbiology, Abscess surgery, Bacteroides Infections microbiology, Bacteroides Infections surgery, Fallopian Tube Diseases microbiology, Fallopian Tube Diseases surgery, Female, Humans, Hysterectomy methods, Middle Aged, Ovarian Diseases microbiology, Ovarian Diseases surgery, Salpingo-oophorectomy methods, Sepsis surgery, Abscess complications, Bacteroides Infections complications, Bacteroides fragilis, Fallopian Tube Diseases complications, Ovarian Diseases complications, Sepsis microbiology
- Abstract
A 45-year-old, G0P0 premenopausal woman was admitted for investigation of right lower quadrant pain, fever, leucocytosis and right adnexal abscess on CT. She was started on intravenous antibiotics and underwent CT-guided percutaneous drainage from which Bacteroides fragilis was cultured. A few days later, she had an exploratory laparotomy with incision and drainage. Once stabilised, she was discharged on intravenous antibiotics. She was followed outpatient and subsequent imaging demonstrated significant improvement of the abscess. After being asymptomatic for 3 months, she again presented to the emergency department with right lower quadrant abdominal pain, fever and leucocytosis. Two days later, she underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. She made a full recovery and began treatment with a herbal oestrogen derivative to prevent early menopause., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2018
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