Botulism Toxemia Following Laparoscopic Appendectomy

Botulism toxemia following laparoscopic appendectomy.

We describe a case of botulism infection in a patient who had undergone laparoscopic appendectomy, an occurrence not previously described in the literature. This case exemplifies the need for coordination between clinical and public health personnel to ensure the immediate recognition and treatment of suspected botulism cases.

Infectious complications following laparoscopic appendectomy.

INTRODUCTION A meta-analysis of the literature suggests there is an increased rate of intra-abdominal abscess after laparoscopic appendectomy (LA) compared with open appendectomy (OA). METHODS To analyze the infectious complications of LA at one tertiary care centre, we completed a retrospective chart review for all patients undergoing LA for acute appendicitis from 1995 to 2002. RESULTS We...

Intestinal Toxemia Botulism in 3 Adults, Ontario, Canada, 2006–2008

Five cases of intestinal toxemia botulism in adults were identified within an 18-month period in or near Toronto, Ontario, Canada. We describe findings for 3 of the 5 case-patients. Clinical samples contained Clostridium botulinum spores and botulinum neurotoxins (types A and B) for extended periods (range 41-61 days), indicative of intestinal toxemia botulism. Patients' clinical signs improved...

Laparoscopic Appendectomy

Rare Occurrence of Small-Bowel Volvulus Following Laparoscopic Appendectomy

Introduction: Laparoscopy has proven to be safe for diagnostic and therapeutic purposes in patients with suspected acute appendicitis. Case Description: We report a case of a rare occurrence of small-bowel volvulus after laparoscopic appendectomy. Discussion: Moreover, laparoscopy has a number of advantages when compared with open surgery, including faster recovery and shorter length of stay. N...