scholarly journals An Analysis of a Cohort of Surgical-Related Intraabdominal Sepsis With PIRO

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 419A
Author(s):  
Juan Posadas-Calleja ◽  
Thomas Stelfox ◽  
Andre Ferland ◽  
Christopher Doig
Author(s):  
Khalilah Alhuda Binti Kamilen ◽  
Mohd Yusran Othman

Intussusception is a well-known cause of intestinal obstruction in children. Its occurrence in fetus as an intrauterine incidence is extremely rare and poses a diagnostic difficulty. Intrauterine intussusception may result in intestinal atresia once the gangrenous segment resorbed. However, a very late occurrence of intussusception just prior to delivery may present as meconium peritonitis. We are reporting a case of premature baby who was born at 35 weeks gestation via emergency caesarean for breech in labour. Routine scan 4 days prior to the delivery showed evidence of fetal ascites. She was born with good Apgar Score and weighed 2.5kg. Subsequently she developed respiratory distress syndrome requiring mechanical ventilation. She passed minimal meconium once after birth then developed progressive abdominal distension and vomiting. Abdominal radiograph on day 4 of life revealed gross pneumoperitoneum and bedside percutaneous drain was inserted to ease the ventilation. Upon exploratory laparotomy, a single ileal perforation was seen 20cm from ileocecal junction with an intussusceptum was seen in the distal bowel. Gross meconium contamination and bowel edema did not favour the option of primary anastomosis, thus stoma was created. Reversal of stoma was performed a month later and she recovered well. Fetus with a complicated intrauterine intussusception may present with fetal ascites and their postnatal clinical and radiological findings need to be carefully assessed for evidence of meconium peritonitis; in which a timely surgical intervention is required to prevent the sequelae of prolonged intraabdominal sepsis in this premature baby.International Journal of Human and Health Sciences Supplementary Issue-2: 2021 Page: S18


1982 ◽  
Vol 4 (Supplement_3) ◽  
pp. S676-S682 ◽  
Author(s):  
Ronald W. Busuttil ◽  
Marie A. McGrattan ◽  
Drew J. Winston

1977 ◽  
Vol 135 (Supplement) ◽  
pp. S18-S24 ◽  
Author(s):  
T. J. Louie ◽  
A. B. Onderdonk ◽  
S. L. Gorbach ◽  
J. G. Bartlett

Shock ◽  
2000 ◽  
Vol 14 (2) ◽  
pp. 176-181 ◽  
Author(s):  
Patrick K. Kim ◽  
Jodi Chen ◽  
Kenneth M. Andrejko ◽  
Clifford S. Deutschman

1988 ◽  
Vol 155 (2) ◽  
pp. 284-288 ◽  
Author(s):  
Charles M. Scott ◽  
Robert C. Grasberger ◽  
Timothy F. Heeran ◽  
Lester F. Williams ◽  
Erwin F. Hirsch

2004 ◽  
Vol 39 (10) ◽  
pp. 1548-1552 ◽  
Author(s):  
Samir Q. Latifi ◽  
Mary Ann O’Riordan ◽  
Alan D. Levine ◽  
Anthony Stallion

2001 ◽  
Vol 120 (5) ◽  
pp. A364-A364
Author(s):  
R CRONER ◽  
T HACKERT ◽  
Y KULU ◽  
L CONZELMANN ◽  
R BANAFSCHE ◽  
...  

Shock ◽  
2004 ◽  
Vol 21 ◽  
pp. 34-35
Author(s):  
J. E. McDunn ◽  
R. R. Townsend ◽  
J. P. Cobb

1988 ◽  
Vol 34 (3) ◽  
pp. 323-326 ◽  
Author(s):  
John M. A. Bohnen ◽  
Anne G. Matlow ◽  
Robert A. Mustard ◽  
Neil A. Christie ◽  
Bill Kavouris

We present preliminary data on the role of antibiotics in intraabdominal sepsis using a new, clinically relevant animal model. Peritoneal cavity infection was induced by ligation and perforation of the cecum in adult rats. Surviving rats were randomized to receive either saline or cefoxitin at the time of cecal excision and peritoneal lavage, 18 h after the onset of infection. This is different from previous models of abdominal sepsis (in which antibiotics are given within 4 h of peritoneal contamination) and mimics the clinical setting in which antibiotics are initiated much later, at the time of operation. Antibiotic-treated rats received 20 mg cefoxitin i.m. every 8 h for 7 days; controls received saline at similar times. Thirty-nine of 67 control rats died (58%) versus 20 of 64 (31%) that received cefoxitin (p < 0.005). We conclude that even with delayed administration, antibiotics appear to improve the outcome of intraabdominal sepsis. With further characterization of this model we plan to use it as an in vivo assay to compare the efficacy of different antimicrobial agents in intraabdominal sepsis.


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