A Rare Case of Chemical Peritonitis Following Intravesical Botulinum A Injection for Detusor Overactivity
Journal Title: Journal of Gynecological Research and Obstetrics - Year 2016, Vol 2, Issue 1
Abstract
A 72 year old lady attended for elective administration of intravesical Botulinum A toxin (Botox 200iu) injections, as a day-case procedure, for the treatment of detrusor over activity. The procedure was undertaking without any complications. A few hours after the operation the patient developed severe constant generalized abdominal pain and distension. There were no other associated features. She underwent a computerized tomography (CT) scan of her abdomen and pelvis which was normal, followed by a Cystogram which was also normal. The only abnormal finding was that of an elevated CRP (380 mg/L). She was treated empirically with intravenous Cefuroxime and Metronidazole for twenty-four hours. Her symptoms slowly resolved and she was discharged home on the 3rd post-operative day with oral antibiotics. She experienced no further complications. Although the exact cause of her symptoms was not found, the timing of this complication means it is highly probable to be due to the intravesical Botox injection. Given the above findings, the most likely diagnosis is that chemical peritonitis. This has not previously been reported in the literature as a side effect of intravesical Botox.
Authors and Affiliations
Crowther Samantha, Garikipati Subhash, Bondili Anu
Keywords
Related Articles
- EP ID EP337044
- DOI 10.17352/jgro.000015
- Views 100
- Downloads 0
The Accuracy of Prediction of Birth Weight by Automated Measurement of Fetal Long Bones Using 5D Long Bone versus VOCAL 3D and Conventional 2D Weight Formulae
Objectives: To assess the accuracy of 5D automated measurement of long bones, three dimensional VOCAL measurement of fetal thigh volume in prediction of fetal weight in comparison to the conventional two dimensional Hadl...
Maternal Morbidities and Perinatal Outcomes of Delivery in Women with Preterm Prelabor Rupture of the Membranes (PPROM)
Objective: This study was done to evaluate the maternal morbidities and perinatal outcomes of delivery in women with preterm pre-labor rupture of the membranes who delivered before and after 34 week along a period of fiv...
Direct Proportional Relationship between Histopathologic and Sonographic Analysis of Laparoscopic Removal Ovarian Endometriotic Cyst: Evaluating the Effects on Ovarian Reserve
Background: The aim of this study was to evaluate ovarian damage following laparoscopic endometrioma cystectomy using ultrasound and pathologic samples. Materials and Methods: This is a prospective cohort study in Gener...
Biological Analyses for Characterization of the Uterine Sarcoma Using Mouse Model
Uterine sarcomas are neoplastic malignancies that typically arise in tissues of a mesenchymal origin in uterine body. The identification of novel molecular mechanisms leading to sarcoma formation, and the establishment o...
European Legal view on Termination of Pregnancy
Pregnancy, another state or gravidity, is the state of a woman who carries a new being. The fertilization and ends with childbirth. The fertilized egg develops and goes through several different stages of development: em...