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


METHODS
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.


CONCLUSIONS
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.
Singh-Ranger
Deepak
D
Department of General Surgery, Queen's Hospital, Rom Valley Way, Romford, Essex, UK. d.singhranger@yahoo.co.uk
Sanusi
Abayomi
A
Hamo
Ishrak
I