Diffuse Intraabdominal Infection Due to Septic Abortion but Mimicking Acute Appendicitis

Authors

  • Asli Goker Celal Bayar University, Turkey
  • Kemal Sarsmaz Celal Bayar University, Turkey
  • Levent Dincer Celal Bayar University, Turkey
  • Serdar Tarhan Celal Bayar University, Turkey
  • Naci Kemal Kuscu Celal Bayar University, Turkey

Keywords:

Intraabdominal infection, Septic abortion, Appendicitis

Abstract

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.

Published

2013-06-29

How to Cite

Goker, A. ., Sarsmaz, K. ., Dincer, L. ., Tarhan, S. ., & Kemal Kuscu, N. . (2013). Diffuse Intraabdominal Infection Due to Septic Abortion but Mimicking Acute Appendicitis. Scientific Journal of Medical Science, 2(6), 89-91. Retrieved from http://sjournals.com/index.php/sjms/article/view/1335

Issue

Section

Case Report