• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

大肠埃希菌性输卵管积脓作为阑尾切除术后的罕见并发症：1例病例报告及最佳实践文献综述

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

作者信息

Singh-Ranger Deepak, Sanusi Abayomi, Hamo Ishrak

机构信息

Department of General Surgery, Queen's Hospital, Rom Valley Way, Romford, Essex, UK.

出版信息

J Med Case Rep. 2008 Apr 2;2:97. doi: 10.1186/1752-1947-2-97.

DOI:10.1186/1752-1947-2-97
PMID:18384683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2311322/
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.

摘要

引言

大肠埃希菌性输卵管积脓是一种罕见疾病。我们报告一例在坏疽性阑尾炎阑尾切除术后三个月发生的病例。随后对输卵管积脓的最佳治疗方法进行文献综述。

病例介绍

一名17岁女孩在坏疽性阑尾炎阑尾切除术后三个月出现急腹症。术中发现双侧输卵管积脓，采用穿刺抽吸、生理盐水和聚维酮碘冲洗及静脉使用抗生素进行治疗。

结论

脓液的微生物分析显示有大肠埃希菌和厌氧菌。未分离出衣原体和念珠菌。这是已知阑尾切除术后发生大肠埃希菌性输卵管积脓的首例报道病例。最佳治疗不一定需要进行输卵管切除术，尤其是对育龄期女性而言，因为这可能会影响生育能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/2311322/3bf2d04a815b/1752-1947-2-97-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/2311322/0417312c5596/1752-1947-2-97-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/2311322/3bf2d04a815b/1752-1947-2-97-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/2311322/0417312c5596/1752-1947-2-97-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c63/2311322/3bf2d04a815b/1752-1947-2-97-2.jpg

相似文献

1
Coliform pyosalpinx as a rare complication of appendicectomy: a case report and review of the literature on best practice.大肠埃希菌性输卵管积脓作为阑尾切除术后的罕见并发症：1例病例报告及最佳实践文献综述
J Med Case Rep. 2008 Apr 2;2:97. doi: 10.1186/1752-1947-2-97.
2
Rupture of coliform pyosalpinx in a nine-year old girl.一名9岁女孩大肠埃希菌性输卵管积脓破裂
Zentralbl Gynakol. 2002 Apr;124(4):220-2. doi: 10.1055/s-2002-32429.
3
Pyosalpinx causing acute appendicitis in a 32-year-old Cameroonian female: a case report.32岁喀麦隆女性输卵管积脓引发急性阑尾炎：一例报告
BMC Res Notes. 2016 Jul 26;9:368. doi: 10.1186/s13104-016-2175-3.
4
Bilateral Pyosalpinx Due to a 16-Year-Old Intrauterine Device Presented as Appendicitis.因一枚使用16年的宫内节育器导致双侧输卵管积脓，表现为阑尾炎。
Cureus. 2023 Nov 4;15(11):e48257. doi: 10.7759/cureus.48257. eCollection 2023 Nov.
5
Unusual presentation of bilateral pyosalpinx mimicking an ovarian torsion: A case report.双侧输卵管积脓酷似卵巢扭转的罕见表现：一例报告
Ann Med Surg (Lond). 2020 Feb 26;52:16-18. doi: 10.1016/j.amsu.2020.02.003. eCollection 2020 Apr.
6
Bilateral recurrent pyosalpinx in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly.一名12岁无性活动女孩双侧复发性输卵管积脓，继发于苗勒管异常的罕见变异型。
BMJ Case Rep. 2017 Jun 24;2017:bcr-2016-218924. doi: 10.1136/bcr-2016-218924.
7
Secondary pyosalpinx after reconstructive surgery of vaginal agenesis patient with bilateral hematosalpinx: A case report.阴道闭锁患者双侧输卵管积血重建手术后继发输卵管积脓：一例报告
Int J Surg Case Rep. 2021 Aug;85:106166. doi: 10.1016/j.ijscr.2021.106166. Epub 2021 Jul 2.
8
Peritonitis after a ruptured left pyosalpinx in a patient undergoing in vitro fertilization.
Fertil Steril. 2003 Apr;79(4):1034-6. doi: 10.1016/s0015-0282(02)04926-9.
9
Pyosalpinx due to Cronobacter sakazakii in an elderly woman.一名老年女性因阪崎肠杆菌感染导致输卵管积脓。
BMC Womens Health. 2021 Apr 1;21(1):136. doi: 10.1186/s12905-021-01283-8.
10
A rare case of large pyosalpinx in an elderly patient with well-controlled type 2 diabetes mellitus: a case report.一名2型糖尿病病情控制良好的老年患者发生罕见的巨大输卵管积脓病例：病例报告
J Med Case Rep. 2018 Oct 6;12(1):286. doi: 10.1186/s13256-018-1841-6.

引用本文的文献

1
A rare case of pyosalpinx in adolescent girl with Hirschsprung's disease who underwent transvaginal ultrasound-guided drainage.一名患有先天性巨结肠症的青春期女孩发生输卵管积脓的罕见病例，该患者接受了经阴道超声引导下引流术。
Surg Case Rep. 2023 May 9;9(1):74. doi: 10.1186/s40792-023-01657-0.
2
Unusual presentation of bilateral pyosalpinx mimicking an ovarian torsion: A case report.双侧输卵管积脓酷似卵巢扭转的罕见表现：一例报告
Ann Med Surg (Lond). 2020 Feb 26;52:16-18. doi: 10.1016/j.amsu.2020.02.003. eCollection 2020 Apr.
3
Bilateral recurrent pyosalpinx in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly.

本文引用的文献

1
Peritonitis after a ruptured left pyosalpinx in a patient undergoing in vitro fertilization.
Fertil Steril. 2003 Apr;79(4):1034-6. doi: 10.1016/s0015-0282(02)04926-9.
2
Rupture of coliform pyosalpinx in a nine-year old girl.一名9岁女孩大肠埃希菌性输卵管积脓破裂
Zentralbl Gynakol. 2002 Apr;124(4):220-2. doi: 10.1055/s-2002-32429.
3
Salpingographic demonstration of "cobblestone" mucosa of the distal tubes is indicative of irreversible mucosal damage.输卵管造影显示远端输卵管呈“鹅卵石样”黏膜，提示存在不可逆的黏膜损伤。
一名12岁无性活动女孩双侧复发性输卵管积脓，继发于苗勒管异常的罕见变异型。
BMJ Case Rep. 2017 Jun 24;2017:bcr-2016-218924. doi: 10.1136/bcr-2016-218924.
4
Pyosalpinx causing acute appendicitis in a 32-year-old Cameroonian female: a case report.32岁喀麦隆女性输卵管积脓引发急性阑尾炎：一例报告
BMC Res Notes. 2016 Jul 26;9:368. doi: 10.1186/s13104-016-2175-3.
5
Pyosalpinx as a sequela of labial fusion in a post-menopausal woman: a case report.绝经后女性阴唇融合后遗症导致输卵管积脓：一例病例报告
J Med Case Rep. 2011 Nov 6;5:546. doi: 10.1186/1752-1947-5-546.
6
Leucocyte count and oral temperature are a useful guide to selecting women with right iliac fossa pain for diagnostic laparoscopy.白细胞计数和口腔温度对于选择有右下腹疼痛的女性进行诊断性腹腔镜检查是有用的指导指标。
Ann R Coll Surg Engl. 2010 Jul;92(5):425-8. doi: 10.1308/003588410X12628812459896.
Fertil Steril. 2001 Aug;76(2):342-5. doi: 10.1016/s0015-0282(01)01898-2.
4
Transvaginal ultrasound-guided aspiration of pelvic abscesses.经阴道超声引导下盆腔脓肿抽吸术。
Infect Dis Obstet Gynecol. 1999;7(5):216-21. doi: 10.1002/(SICI)1098-0997(1999)7:5<216::AID-IDOG2>3.0.CO;2-N.
5
Pelvic inflammatory disease. From diagnosis to prevention.盆腔炎：从诊断到预防
Dermatol Clin. 1998 Oct;16(4):747-56, xii. doi: 10.1016/s0733-8635(05)70041-3.
6
A study of second-look laparoscopy after acute salpingitis.急性输卵管炎后二次腹腔镜检查的研究。
Arch Gynecol Obstet. 1996;258(4):193-200. doi: 10.1007/s004040050123.
7
Regarding the best approach to the pyosalpinx.
Ultrasound Obstet Gynecol. 1996 Jun;7(6):398-400. doi: 10.1046/j.1469-0705.1996.07060398.x.
8
Pyosalpinx caused by Streptococcus pneumoniae in a young girl.一名年轻女孩因肺炎链球菌引发的输卵管积脓。
Pediatr Infect Dis J. 1993 Jun;12(6):539-40. doi: 10.1097/00006454-199306000-00019.
9
Second-look laparoscopy after acute salpingitis.
Obstet Gynecol. 1983 Jun;61(6):702-4.
10
Appendectomy and the risk of tubal infertility.阑尾切除术与输卵管性不孕的风险
N Engl J Med. 1986 Dec 11;315(24):1506-8. doi: 10.1056/NEJM198612113152402.