Mount Sinai Hospital, New York, NY, USA.
J Low Genit Tract Dis. 2010 Apr;14(2):130-3. doi: 10.1097/LGT.0b013e3181c7104e.
Extrapelvic infections complicating cervical conization are exceedingly rare.
Seven days after conization, a 44-year-old patient presented with fever and right upper quadrant pain. Pleural effusion and pulmonary and hepatic abscesses were detected. The pathology report of the conization showed microabscesses. Blood cultures grew Fusobacterium necrophorum. Intravenous antibiotics were administered. The pulmonary findings improved but did not completely resolve after drainage of pleural effusions. The patient refused further procedures and was discharged in good clinical condition and with oral antibiotics after 37 days.
Extrapelvic abscesses are rare complications of cervical conization. This is the first report in identifying F. necrophorum as a cause of this complication. Appropriate cultures, drainage of abscesses, and antibiotics are the mainstay of diagnosis and treatment.
宫颈锥切术后发生盆腔外感染极为罕见。
宫颈锥切术后 7 天，一名 44 岁患者出现发热和右上腹疼痛。发现胸腔积液和肺部及肝脓肿。锥切病理报告显示小脓肿。血培养出坏死梭杆菌。给予静脉抗生素治疗。胸腔积液引流后肺部发现情况改善，但未完全消退。患者拒绝进一步治疗，37 天后在临床状况良好的情况下出院，继续口服抗生素。
盆腔外脓肿是宫颈锥切术的罕见并发症。这是首例报道坏死梭杆菌引起这种并发症。适当的培养、脓肿引流和抗生素是诊断和治疗的主要方法。
