Appendicitis Research Today is a free monthly online journal that collates and summarizes the latest research about Appendicitis, including details on symptoms, surgery, causes, treatment.

Coliform pyosalpinx as a rare complication of appendicectomy: a case report and review of the literature on best practice.

Singh-Ranger D, Sanusi A, Hamo I

Department of General Surgery, Queen's Hospital, Rom Valley Way, Romford, Essex, UK. d.singhranger@yahoo.co.uk.

ABSTRACT: INTRODUCTION: Coliform pyosalpinx is a rare entity. We report a case that occurred three months after appendicectomy for gangrenous appendicitis. There follows a literature review on best practice for the treatment of pyosalpinx. CASE PRESENTATION: A seventeen year old girl presented with an acute abdomen three months after an appendicectomy for gangrenous appendicitis. Intraoperative findings were bilateral pyosalpinx treated by aspiration, saline and Betadine irrigation and intravenous antibiotics. CONCLUSION: Microbiological analysis of the pus revealed Escherichia coli and anaerobes. Chlamydia and Candida were not isolated. This is the first known reported case of Coliform Pyosalpinx following appendicectomy. The best treatment does not necessarily involve salpingectomy especially in women of reproductive age where fertility may become compromised.

Published 16 April 2008 in J Med Case Reports, 2: 97.
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