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A case of successful treatment of a child with peritonitis, complicated by bilateral purulent epididymitis
- Authors: Vasileva A.G.1,2, Zinovev E.V.1,3, Martinen M.S.2,4, Golovin P.S.2, Bagaturia G.O.1, Kosulin A.V.1, Kostyakov D.V.3,5, Kostyakova A.V.3
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Affiliations:
- Saint Petersburg State Pediatric Medical University
- Children’s Clinical Hospital, Saint Petersburg
- Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
- Academician I.P. Pavlov First St. Petersburg State Medical University
- Saint Petersburg State University
- Issue: Vol 15, No 3 (2024)
- Pages: 71-76
- Section: Clinical observation
- URL: https://journals.eco-vector.com/pediatr/article/view/642132
- DOI: https://doi.org/10.17816/PED15371-76
- ID: 642132
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Abstract
Acute appendicitis in children is one of the most common diseases requiring surgical treatment and ranks first among all emergency surgeries on the abdominal organs. The incidence of acute appendicitis complicated by peritonitis remains at the same level and does not tend to decrease. The course of the postoperative period in children is of particular interest due to the fact that the child’s body behaves atypically and it is very difficult to predict what complications will follow the operation within the framework of the underlying disease. The article presents a clinical case of successful treatment of peritonitis complicated by bilateral epididymitis. On the second day from the onset of the disease, the patient was hospitalized in the Children’s Clinical Hospital (St. Petersburg) with a clinical picture of acute appendicitis, peritonitis. Surgical treatment was performed: laparotomy, urgent appendectomy after 40/2 hours. Sanitation of the abdominal cavity. On the 5th day after the operation, pronounced scrotal edema appeared on both sides, the condition was assessed as secondary orchiepididymitis. On the 7th day after the surgical treatment, a decision was made to perform bilateral scrototomy. Thus, the clinical observation demonstrates variants of late complications after surgical treatment of purulent peritonitis in children against the background of undiagnosed non-closure of the vaginal processes of the peritoneum on both sides, as well as the possibility of successful complex treatment of such patients in a specialized institution. It is necessary to take into account the need for early diagnosis and planned surgical treatment of testicular hydrocele, including due to the possibility of such complications. Literature data with similar clinical cases are presented in isolated publications.
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About the authors
Anastasia G. Vasileva
Saint Petersburg State Pediatric Medical University; Children’s Clinical Hospital, Saint Petersburg
Author for correspondence.
Email: vasilyeva-87@mail.ru
ORCID iD: 0000-0002-1515-3523
SPIN-code: 8821-2003
MD, PhD, Associate Professor of the Prof. F.I. Walker Department of Operative Surgery and Topographic Anatomy, Saint Petersburg State Pediatric Medical University, Ministry of Health of the Russian Federation; Head of the Endoscopic Department, Children's Clinical Hospital
Russian Federation, Saint Petersburg; Saint PetersburgEvgenii V. Zinovev
Saint Petersburg State Pediatric Medical University; Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Email: evz@list.ru
ORCID iD: 0000-0002-2493-5498
SPIN-code: 4069-2346
MD, PhD, Dr. Sci. (Medicine), Professor, Head of the Department of Thermal Injuries, Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Professor of the Department of Hospital Surgery with courses of traumatology and military field surgery, Saint Petersburg State Pediatric Medical University, Ministry of Health of the Russian Federation
Russian Federation, Saint Petersburg; Saint PetersburgMaksim S. Martinen
Children’s Clinical Hospital, Saint Petersburg; Academician I.P. Pavlov First St. Petersburg State Medical University
Email: martimax@mail.ru
ORCID iD: 0009-0003-7431-6278
SPIN-code: 3087-4721
Head of the Pediatric Surgical Department, Children's Clinical Hospital; Assistant, Department of Pediatric Surgery, Academician I.P. Pavlov First St. Petersburg State Medical University
Russian Federation, Saint Petersburg; Saint PetersburgPavel S. Golovin
Children’s Clinical Hospital, Saint Petersburg
Email: doc.pavelgolovin@mail.ru
ORCID iD: 0009-0002-1040-5389
Pediatric Surgeon and Urologist of the Pediatric Surgical Department
Russian Federation, Saint PetersburgGeorgii O. Bagaturia
Saint Petersburg State Pediatric Medical University
Email: geobag@mail.ru
ORCID iD: 0000-0001-5311-1802
SPIN-code: 4931-8370
MD, PhD, Dr. Sci. (Medicine), Professor, Head of the Prof. F.I. Walker Department of Operative Surgery and Topographic Anatomy
Russian Federation, Saint PetersburgArtem V. Kosulin
Saint Petersburg State Pediatric Medical University
Email: hachenlad@mail.ru
ORCID iD: 0000-0002-9505-222X
SPIN-code: 7609-0708
MD, PhD, Dr. Sci. (Medicine), Associate Professor of the Prof. F.I. Walker Department of Operative Surgery and Topographic Anatomy
Russian Federation, Saint PetersburgDenis V. Kostyakov
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Saint Petersburg State University
Email: kosdv@list.ru
ORCID iD: 0000-0001-5687-7168
SPIN-code: 9966-5821
MD, PhD, Dr. Sci. (Medicine), Leading Researcher in the Department of Thermal Injuries, Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Associate Professor, Department of General Surgery, Saint Petersburg State University, Ministry of Health of the Russian Federation
Russian Federation, Saint Petersburg; Saint PetersburgAnna V. Kostyakova
Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
Email: avchekina@mail.ru
ORCID iD: 0009-0005-7553-4810
SPIN-code: 3377-8390
Junior Researcher, Department of Emergency Surgery
Russian Federation, Saint PetersburgReferences
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