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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of An Abdominal Infection?

Is it possible for an appendix to rupture and then seemingly disappear?Our daughter has been in the hospital for 4 weeks,with an infection in her bloodstream,gallbladder and kidneys.The doctors have been unable to determine why her abdomen keeps filling up with purulent drainage,that they have removed by syringe 5 times,until today they took her to operating room and thru a 6 inch incision removed over a gallon of infectious fluid.The surgeon says he cannot find any reason for this infection,except he could not find her appendix.Before she got sick 4 weeks ago she was a very healthy 26 year old,2 weeks from graduating college.She now has 2 drain tubes in her abdomen and a NG tube.Please advise.Thank you
Thu, 7 Jan 2016
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General Surgeon,  's  Response
hi.

for your first question, yes, it is possible for the course of ruptured appendix to be of increasing intensity at first, when it comes to signs and symptomatologies (occurrence of abdominal pain, fever, leukocytosis), then it seemingly disappears. drain tubes has been placed already and this will help in continuous drainage of the purulent intraperitoneal fluid. also, proper antibiotic course must be maintained to control the ongoing infection, as well as hydration, bowel rest (nothing per orem temporarily) and GI decompression (thru her NGT). abdominal ct-scan and blood works (such as CBC) will be of great help as well. if the cause of the abscess is indeed her ruptured appendix, interval appendectomy may be done eventually. you may talk to your doctor/surgeon re the course of her condition so would understand it better.

hope this helps.

good day!!

~dr.kaye
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What Is The Cause Of An Abdominal Infection?

hi. for your first question, yes, it is possible for the course of ruptured appendix to be of increasing intensity at first, when it comes to signs and symptomatologies (occurrence of abdominal pain, fever, leukocytosis), then it seemingly disappears. drain tubes has been placed already and this will help in continuous drainage of the purulent intraperitoneal fluid. also, proper antibiotic course must be maintained to control the ongoing infection, as well as hydration, bowel rest (nothing per orem temporarily) and GI decompression (thru her NGT). abdominal ct-scan and blood works (such as CBC) will be of great help as well. if the cause of the abscess is indeed her ruptured appendix, interval appendectomy may be done eventually. you may talk to your doctor/surgeon re the course of her condition so would understand it better. hope this helps. good day!! ~dr.kaye