TY - JOUR
AR - SCR-2020-8-109
TI - Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face
AU - Saroj , Rajan
AU - HARITHA , SAGILI
AU - Jayalakshmi , Durairaj
AU - Avantika , Gupta
JO - Surgical Case Reports
PY - 2020
DA - Mon 10, Aug 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.08.09
UR - https://www.sciencerepository.org/non-typhoidal-salmonella-suppuration-of-ovarian-cyst-with-sclerosing-peritonitis_SCR-2020-8-109 
KW - Non typhoid Salmonella, ovarian cyst, ovarian abscess, sclerosing peritonitis
AB - Invasive non-typhoidal Salmonella is an emerging problem in developing regions like Africa and Asia.
Infection of ovarian cysts by typhoid bacilli is a complication dating to the 1800s and is rare in the postantibiotic era. A diabetic, hypertensive post-menopausal lady, our patient presented with a large paraovarian
cyst infected the Salmonella group B bacillus. The infection is likely transmitted hematogenously or by the
surrounding adherent bowel and omentum. Interestingly, our patient developed sclerosing peritonitis and
osseous metaplasia of the rectus sheath as well, possibly a peritoneal inflammation to a disseminated
infection. Compounded by her diabetes, the ossified rectus healed poorly, leading to burst abdomen in the
post-operative period. Hence, our patient presented with a rare manifestation of an emerging disease. A
depressed immune status, influenced by her comorbidities, and the lack of sanitation in pockets of South
Asia may have led to a reappearance of these once historic complications of typhoid.