A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section

Edwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one mo...

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Main Authors: Koji Yamanoi, Koji Yasumoto, Jumpei Ogura, Takahiro Hirayama, Koh Suginami
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2018/4970854
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author Koji Yamanoi
Koji Yasumoto
Jumpei Ogura
Takahiro Hirayama
Koh Suginami
author_facet Koji Yamanoi
Koji Yasumoto
Jumpei Ogura
Takahiro Hirayama
Koh Suginami
author_sort Koji Yamanoi
collection DOAJ
description Edwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified E. tarda in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient’s condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of E. tarda infection during the perinatal period. E. tarda infection can be a life-threatening illness even in immunocompetent patients. In the case of E. tarda infection, intensive care and surgical procedures should be considered.
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spelling doaj-art-da0a79b94c174cdabbedd44884c678752025-08-20T03:24:25ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/49708544970854A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean SectionKoji Yamanoi0Koji Yasumoto1Jumpei Ogura2Takahiro Hirayama3Koh Suginami4Department of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, JapanDepartment of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, JapanDepartment of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, JapanDepartment of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, JapanDepartment of Obstetrics and Gynecology, Toyooka Public Hospital, Toyooka, JapanEdwardsiella tarda (E. tarda) infections are rare and can be fatal. We report a case of an E. tarda abscess which developed in the hematoma originally derived from a caesarean section. A 24-year-old gravida 1 woman was admitted to our hospital with a complaint of abdominal pain. Approximately one month before her admission, pelvic hematoma had developed derived from caesarean section. Followed by the failure of conservative management, she underwent laparoscopic surgery to remove the hematoma 6 days before her admission. On computed tomography examination, we found that the abscess with a diameter of 9 cm was located in the right pelvic space. We punctured the abscess and identified E. tarda in the abscess. We continued administering antibiotics, but her symptoms, including fever and abdominal pain, became worse, and the abscess enlarged. We performed laparotomy drainage and ileocecal resection on the 10th posthospitalization day. After drainage surgery, the patient’s condition improved gradually, and the patient was discharged uneventfully. There are no reports in patients of E. tarda infection during the perinatal period. E. tarda infection can be a life-threatening illness even in immunocompetent patients. In the case of E. tarda infection, intensive care and surgical procedures should be considered.http://dx.doi.org/10.1155/2018/4970854
spellingShingle Koji Yamanoi
Koji Yasumoto
Jumpei Ogura
Takahiro Hirayama
Koh Suginami
A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
Case Reports in Infectious Diseases
title A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
title_full A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
title_fullStr A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
title_full_unstemmed A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
title_short A Case of Pelvic Abscess Caused by Edwardsiella tarda followed by Laparoscopic Resection of a Hematoma Derived from Caesarean Section
title_sort case of pelvic abscess caused by edwardsiella tarda followed by laparoscopic resection of a hematoma derived from caesarean section
url http://dx.doi.org/10.1155/2018/4970854
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