Table 1 Comparison of our case with similar cases in terms of the proposed mechanism, pathology (per-operatively), treatment and outcome
From: Pyosalpinx causing acute appendicitis in a 32-year-old Cameroonian female: a case report
Author | Mechanism | Pathology | Treatment | Postoperative outcome |
|---|---|---|---|---|
Jackson [10] | Contiguous infection | Oedematous appendix Torsioned and Gangrenous right pyosalpinx measuring 12.5 cm by 5 cm | Appendicectomy Right salpingectomy Closure without drainage It was not mentioned if patient was placed on intravenous antibiotics | Uneventful |
Halpenny [20] | Contiguous infection from a right pyosalpinx | Right fallopian tube was found discharging pus. State of the tube not mentioned Left tube was normal Inflammed and adherent appendix | Appendicectomy Right salpingectomy Abdominal toileting Closure without drainage Patient received intravenous antibiotics | Uneventful |
Our case | Extrinsic compression of the appendix by a right pyosalpinx | Distorted right fallopian tube measuring 8 by 4 cm and discharging pus Inflammed left fallopian tube discharging pus Inflammed appendix | Right salpingectomy Appendicectomy Drainage and saline irrigation of the left fallopian tube Abdominal lavage intravenous antibiotics | Uneventful |