Pelvic Outlet Obstruction Secondary to Salmonella enterica serovar Bovismorbificans Abscess
| Autor: | Shaan Manawar, Katherine Kramme, Saad Shebrain, Kristofer Nava, Riley A Scanlan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Foley catheter Every Eight Hours 030204 cardiovascular system & hematology broadcast 03 medical and health sciences 0302 clinical medicine intra-abdominal abscess broadcast.radio_station medicine Internal Medicine Abscess Pelvis salmonella enterica serovar bovismorbificans business.industry General Engineering Intra-abdominal Abscess medicine.disease Surgery medicine.anatomical_structure Epidemiology/Public Health Pelvic outlet General Surgery Abdomen business Complication 030217 neurology & neurosurgery pelvic outlet obstruction |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | We present a case of a 30-year-old Hispanic male with pelvic outlet obstruction syndrome secondary to a large pelvic abscess caused by Salmonella enterica Bovismorbificans. This case demonstrates a potentially serious complication of a rare foodborne illness in the United States, in which an urgent surgical intervention was warranted. A computed tomography (CT) scan of the abdomen and pelvis demonstrated a large pelvic cystic mass causing near-total pelvic outlet obstruction of both gastrointestinal and genitourinary systems. A total of 1,250 mg of IV vancomycin and 3.375 mg of IV piperacillin-tazobactam were administered every eight hours, and an urgent decompressive transverse loop colostomy, Foley catheter placement, and percutaneous drainage were performed. Culture of the abscess fluid identified Salmonella enterica serotype Bovismorbificans, and the antibiotic regimen was changed to 1,000 mg IV ceftriaxone every 24 hours. Subsequent CT imaging displayed a reduction in abscess size. The patient was then discharged with a 14-day course of 500 mg of oral ciprofloxacin every 12 hours and 500 mg of oral metronidazole every eight hours. Imaging at three weeks post-discharge displayed resolution of the abscess, and the drain was removed. The patient had complete recovery and did well several months following treatment. While rare, Salmonella enterica serotype Bovismorbificans could potentially lead to serious complications such as giant pelvic abscess, in which a multidisciplinary team approach (i.e., medical, surgical, and interventional) is critical for a good outcome. |
| Databáze: | OpenAIRE |
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