熱帯医学と外科

概要

Medical Management of Post-Operative Abdominal Infection: A Case of Well Management and Appropriate Medications

Amer Hayat Khan, Andee Dzulkarnaen Zakaria, Syed Hassan, Ashfaq Ahmad and Mohamed Azmi Hassali

A 55 years old man was presented with abdominal pain and even distension. Patient was admitted from clinic for persistent pus discharge from wound suture. Present case is established case of hypertension, colon cancer, familial adenomatous polyposis and liver metastases changes stage four (post panproctocolectomy with ileoanal anastomosis with ileal pouch and disfunctioning ileastases). Operation procedure is done with multiple liver nodule, tumor sigmoid and descending colon while small bowel and stomach was normal. After 2 months of surgical procedure, patient’s pus discharge was confirmed with presence of mixed growth of gram negative bacilli and gram positive cocci. To improve the prognosis of patient with intra abdominal infection, monitoring of wounds, examination of tissue or pus discharge and proper selection of antibiotic treatment must be practicized. The bacteria inoculums must be controlled and diminished in the most effective manner depending on the patient condition. Mechanistic approach of surgeon and professional attitude may retard the accelerated prognosis of post operative intra-abdominal infections of the cancer patient.