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[A case of the greater omentum abscess due to Peptostreptococcus ssp]
M Tsujimoto1, Y Nakatani, M Yamamoto
1Department of Internal Medicine, Heisei Memorial Hospital, Nara, Japan.
Abstract:
A case of the greater omentum abscess due to Peptostreptococcus ssp. is reported. A 63-year-old male was admitted to Heisei Memorial Hospital with a complaint of abdominal pain. An intraperitoneal mass measuring 6 cm in diameter was detected by CT and ultrasonogram. He was diagnosed as having an intraperitoneal abscess. After antibiotics therapy by cefotiam, laparotomy was performed and an abscess about 7 cm in diameter at the edge of the greater omentum was found. There was no evidence of perforation in the intestine wall. The abscess was removed and Peptostreptoccocus spp. was isolated from the dark red pus drained from the abscess.
Insights
This case report details a greater omentum abscess caused by Peptostreptococcus bacteria in a 63-year-old male. Surgical removal and antibiotic treatment successfully resolved the abdominal abscess.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Greater omentum abscesses are rare intra-abdominal infections.
- Prompt diagnosis and management are crucial for patient outcomes.
Observation:
- A 63-year-old male presented with abdominal pain.
- Imaging revealed a significant intraperitoneal mass, diagnosed as an abscess.
- No intestinal perforation was identified.
Findings:
- Laparotomy confirmed a 7 cm abscess at the greater omentum's edge.
- Peptostreptococcus species were isolated from the abscess pus.
- Initial antibiotic therapy with cefotiam was administered.
Implications:
- This case highlights Peptostreptococcus as a causative agent of omental abscesses.
- Effective management involves a combination of antibiotics and surgical intervention.
- Understanding rare causes of abdominal abscesses improves clinical diagnostic capabilities.