Diffuse Intraabdominal Infection Due to Septic Abortion but Mimicking Acute Appendicitis
Keywords:
Intraabdominal infection, Septic abortion, AppendicitisAbstract
We present a case of diffuse intraabdominal infection which was misdiagnosed as appendicitis. The patient concealed having had sexual intercourse and being pregnant. She was diagnosed as intraabdominal infection after acute abdomen developed and a diagnostic laparotomy was performed. The clinical state was complicated by pleural effusion and subsplenic abcess formation. After a long period of antibiotherapy and drainage of the abcess, the patient was able to be discharged. The case represents the importance of correct anamnesis, choosing appropriate diagnostic tools, performing timely surgery and close follow up. All women in the reproductive age should be thoroughly questioned about sexual activity and the possibility of a septic abortion must be kept in mind in single females.References
World Health Organization (WHO) 1993. The Prevention and Management of Unsafe Abortion: Report of a
Technical Working Group, Geneva, 12–15 April 1992, Geneva: WHO,
Sule-Odu, A.O., Olatunji, A.O., Akindele, R.A., 2002. Complicated induced abortion in Sagamu, Nigeria. J Obstet
Gynaecol. Jan; 22(1), 58-61.
Fusco, C.L., Silva, R.S., 2012. Andreoni S.Unsafe abortion: social determinants and health inequities in a vulnerable
population in São Paulo, Brazil. Cad Saude Publica. Apr; 28(4), 709-19.
Turkish Population and Health Survey Conducted (TPHSC) by Ministry of Health and Hacettepe University, 2008.
Turkish Law number 1983/2827 about family planning.
Orji, E.O., Fasubaa, O.B., Adeyemi, B., Dare, F.O., 2002. Onwudiegwu, U., Ogunniyi, S.O., Mortality and morbidity
associated with misdiagnosis of ectopic pregnancy in a defined Nigerian population. J Obstet Gynaecol.
Sep;22(5), 548-50.
Punguyire, D., Iserson, V.K., 2011. Missed appendicitis after self-induced abortion. Pan Afr Med J. 2011. 10, 38.
Epub Nov 13.
Osazuwa, H., Aziken, M., 2007. Septic abortion: a review of social and demographic characteristics.Arch Gynecol
Obstet. Feb;275(2), 117-9.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2013 Asli Goker, Kemal Sarsmaz, Levent Dincer, Serdar Tarhan, Naci Kemal Kuscu
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.