Re: Unexplained pelvic abscess

From: Robert Brenner (robbrenner@earthlink.net)
Wed Sep 25 19:28:51 1996


At 12:43 AM 9/21/96 -0500, you wrote: >A 44 year old patient presented with a pelvic abscess draining from
>the left vaginal fornix, 6 years after a Vag. Hyst. (for ?persistently
>abnormal Pap smears), which was complicated by an inadvertent
>cystotomy. Cultures showed vaginal flora and the patient's symptoms
>of pain resolved with Cipro and Metronidazole. A CT scan showed only
>an inflammatory process involving the anterior rectosigmoid and the
>vaginal cuff. Colonoscopy was negative. Repeat CT scan 2 months later
>was normal.
>
>?Etiology ?Further studies
>
>Thanks
>Maui Doc

I would get a barium enema looking for diverticular disease even though the colonoscopy was negative.

--
Robert Brenner MD
Baltimore MD
Robbrenner@earthlink.net
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