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Year 2019 Vol. 27 No 4

CASE REPORTS

S.A. MARKOSYAN, N.S. MARKOSYAN

TERMINAL ILEITIS, COMPLICATED BY DOUGLAS SPACE ABSCESS IN 8-YEAR-OLD CHILD

National Research Ogarev Mordovia State University, Institute of Medicine, Saransk,
The Russian Federation

The report describes a clinical case of a child of 8 years old with terminal ileitis, complicated by Douglas space abscess. With performing ultrasound of the abdominal cavity organs, the appendicular infiltrate was suspected, and therefore the patient was transferred from the infectious diseases hospital to the children’s surgical hospital. After a re-ultrasound examination of the abdominal organs, the diagnosis was confirmed. The child underwent diagnostic laparoscopy, which allowed diagnosing terminal ileitis in the exacerbation stage, and laparoscopic appendectomy. After the operation the girl was observed in the resuscitation and intensive care unit, in which she got pathogenetic and symptomatic therapy. Despite the treatment, carried out in the early postoperative period, Douglas space abscess developed, accompanied by the abdominal pain, increase in body temperature to febrile numbers, appearance of biliary vomiting. Repeated laparoscopic surgery was carried out, aimed at sanitation and drainage of the abscess cavity. In the postoperative period, the intestinal peristalsis was additionally stimulated, physiotherapy treatment was conducted, and antibiotic therapy was corrected. As a result of treatment, the patient’s condition improved. The patient was transferred to another medical institution to provide her with high-technological medical care.

Keywords: terminal ileitis, small intestine, Douglas space abscess, laparoscopy, child
p. 475-479 of the original issue
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Address for correspondence:
430032, The Russian Federation,
Saransk, Ulyanov Str., 26à,
National Research Ogarev
Mordovia State University,
Institute of Medicine,
Department of the Faculty Surgery
with the Courses of Topographic Anatomy and
Operative Surgery, Urology and Pediatric Surgery.
Tel. mob. +79176990604,
e-mail: ru»markosyansa@mail.ru,
Sergey A. Markosyan
Information about the authors:
Markosyan Sergey A., MD, Associate Professor, Professor of the Department of the Faculty Surgery with the Courses of Topographic Anatomy and Operative Surgery, Urology and Pediatric Surgery, National Research Ogarev Mordovia State University, Institute of Medicine, Saransk, Russian Federation.
http://orcid.org/0000-0002-9876-4433
Markosyan Natalia S., PhD, Associate Professor of the Department of Infectious Diseases with the Coursesin Epidemiology, Phthisiology, Skin and Sexually Transmitted Diseases, National Research Ogarev Mordovia State University, Institute of Medicine, Saransk, Russian Federation.
http://orcid.org/0000-0003-3563-1075
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