Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors describe 11 cases of acute abdomen they observed during a two-year period mainly after abdominal operations. The male/female ratio was 6:5, the mean age 59 years with a range from 20 to 75 years. The mean period which had elapsed after the primary operation was 18.5 days. The authors describe four cases with ileus due to adhesions, three cases of volvulus of the small intestine, a stress ulcer, gangrenous appendicitis, acute cholecystitis and adnexitis. In general it is assumed that the most frequent acute abdomen during the post operative period is ileus due to adhesions, postoperative pancreatitis or stress ulcers are less frequent. Extremely rarely the cause of complaints is inflammatory acute abdomen of a different nature which is an unexpected finding during surgical revision. It is dangerous due to the atypical course and the fact that symptoms are masked by manifestations of the receding postoperative state. In the literature the aetiopathogenesis of such rare conditions is most frequently associated with impaired tissue perfusion due to an inadequate blood flow, general tissue hypoxia due to hypovolaemia, protracted postoperative shock, rigid vascular walls which are incapable of adequate reaction to acute deviations of circulatory demands. Despite this these conditions develop more rarely than corresponds to the coincidence of these general relatively frequent adverse factors. Severe immunosuppression is also observed much more frequently in surgical patients than these rare complications. The authors observed the incidence of these cases of acute abdomen at a ratio of 1:2000 which corresponds roughly to data in published work. Seeking the solution in immunity disorders does not explain this problem.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Acute abdomen as a postoperative complication]. 182 40

Between 2-6% of patients with an IUD will suffer related ascending infections of the inner genital region with possible spread to the pelvic region, independent of length of use. In case of pregnancy with an IUD, septic complications will be more severe. None of the IUD models is regarded as causing infection since the Dalkon Shield has been taken off the market. The symptomatology of the disease develops similar to an uncomplicated ascending adnexitis. It will cause diagnostic problems if it cannot be determined whether the septic focus is located in the inner genital region. With uncharacteristic or absent pathological and gynecological findings by touch, a septic ovarial vein thrombosis has to be considered. The search for the IUD, even with a nonvisible thread, by ultrasound is unavoidable. Further measures include control of the kidney and pulmonary function and leukocytes and blood sedimentation. If an infection develops with an implanted IUD, which is to be classed with the inner genital region, antibiotic therapy can be started provided that no shock signs, no acute abdomen, and no grave feelings of illness are present. If the patient is pregnant it is absolutely necessary to send her to the hospital for examination, even if there are no grave symptoms.
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PMID:[Emergency in general medicine (43). Septic complications in implanted IUD]. 682 12