Surgery Definition – What is pelvic abscess?
Surgery Definition – What is pelvic abscess?
Pelvic abscess is a form of intra abdominal abscess. The common causes of pelvic abscess may include peritonitis, leakage during intra abdominal surgery and perforated viscus. Pelvic abscess may present between the bladder and the rectum in male and between the vagina and the rectum in female. This region is known as pouch of Douglas.
Pelvic abscess is caused by perforated peptic ulcer, perforated appendix that is inflamed, colorectal perforation secondary to tumor, leaking at the distal bowel anastomosis and gynecological pathology such as salpingitis and pelvic inflammatory disease and diverticular disease.
The symptoms and signs of pelvic abscess may include swinging pyrexia, nausea, vomiting, abdominal pain and malaise. Patient may appear unwell with warm hand and tachycardic. The face is flushed and diaphoretic. There will be peritonisim and mass which is tender on palpation and palpable.
The investigation needed may include full blood count which reveals high in total white blood cell count, urea and electrolytes, group and cross match the blood, erect chest x ray to rule out any incidence of perforated viscus which is manifest by the air under the diaphragm and subphrenic abscess may present with tenting of the right hemi diaphragm and the present of air fluid level under the right hemi diaphragm. Ultrasound scan and CT scan may also be considered.
The treatment of pelvic abscess may focus on admitted the patient, nil by mouth, establishment of the intravenous line and administration of the intravenous fluid to correct any imbalance of the electrolytes and consider broad spectrum intravenous antibiotic such as metronidazole, gentamicin and cefuroxime.
Failure of conservative treatment may require surgical intervention such as digital drainage by putting pressure on the area of pointing and surgical drainage.
Pelvic abscess is a form of intra abdominal abscess. The common causes of pelvic abscess may include peritonitis, leakage during intra abdominal surgery and perforated viscus. Pelvic abscess may present between the bladder and the rectum in male and between the vagina and the rectum in female. This region is known as pouch of Douglas.
Pelvic abscess is caused by perforated peptic ulcer, perforated appendix that is inflamed, colorectal perforation secondary to tumor, leaking at the distal bowel anastomosis and gynecological pathology such as salpingitis and pelvic inflammatory disease and diverticular disease.
The symptoms and signs of pelvic abscess may include swinging pyrexia, nausea, vomiting, abdominal pain and malaise. Patient may appear unwell with warm hand and tachycardic. The face is flushed and diaphoretic. There will be peritonisim and mass which is tender on palpation and palpable.
The investigation needed may include full blood count which reveals high in total white blood cell count, urea and electrolytes, group and cross match the blood, erect chest x ray to rule out any incidence of perforated viscus which is manifest by the air under the diaphragm and subphrenic abscess may present with tenting of the right hemi diaphragm and the present of air fluid level under the right hemi diaphragm. Ultrasound scan and CT scan may also be considered.
The treatment of pelvic abscess may focus on admitted the patient, nil by mouth, establishment of the intravenous line and administration of the intravenous fluid to correct any imbalance of the electrolytes and consider broad spectrum intravenous antibiotic such as metronidazole, gentamicin and cefuroxime.
Failure of conservative treatment may require surgical intervention such as digital drainage by putting pressure on the area of pointing and surgical drainage.
