Volume 34, Issue 1 (April 2023)
Studies in Medical Sciences 2023, 34(1): 21-24 |
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Ajdary M, Derakhshan R, Vahabi Dastjerdi M, Rokhgireh S. SUCCESSFUL CONSERVATIVE MANAGEMENT OF A RETROPERITONEAL ABSCESS AFTER LAPAROSCOPIC SURGERY: A CASE REPORT. Studies in Medical Sciences 2023; 34 (1) :21-24
URL: http://umj.umsu.ac.ir/article-1-5970-en.html
URL: http://umj.umsu.ac.ir/article-1-5970-en.html
Endometriosis Research center, Iran University of Medical Science, Tehran, Iran (Corresponding Author) , dr.rokhgireh.samaneh@gmail.com
Abstract: (1089 Views)
Formation of a retroperitoneal abscess after endometriosis laparoscopy is a rare complication, but if occurs, it may cause morbidity and mortality. Hematoma at the trocar site, if not detected during surgery, may cause retroperitoneal abscess. In this case, we have investigated and managed a specific case of retroperitoneal abscess after endometriosis laparoscopy. A 38-year-old female patient was diagnosed with extensive endometriosis and underwent laparoscopy. Four days after surgery, she experienced swelling and pain at the suprapubic trocar site. On the 11th day after surgery, the patient was referred due to abundant purulent secretions from the suprapubic trocar site and hospitalized. In the CT scan, there was a large collection in the pelvic extraperitoneal space of the Retzius space and the interior of the bladder, spreading to the paracolic gutters and the subhepatic area. Intramuscular meropenem and vancomycin were prescribed for treatment. Drainage of the above collection was done under ultrasound guidance. Three-hundred milliliters of pus was drained and an 8 French pigtail drain was placed percutaneously in the suprapubic area. 48 hours after discharge, the patient's fever stopped. After 14 days, purulent discharge from the drain stopped and the drain was removed. It seems that the correct techniques of trocar placement along with a complete understanding of the anatomy of the anterior abdominal wall, as well as paying attention to the diagnosis of vascular damage at the site of the surgical trocar are effective in preventing hematoma at the laparoscopic port site and preventing subsequent potential complications.
Keywords: Endometriosis, Laparoscopic Surgery, Meropenem, Retroperitoneal Abscess, Trocar Site Hematoma, Vancomycin
Type of Study: case report |
Subject:
زنان و زایمان
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