AMEBIC ULCER OF THE ABDOMINAL WALL FOLLOWING APPENDECTOMY WITH DRAINAGE

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Abstract
Several reports of progressively enlarging gangrenous ulcers of the abdominal wall following laparotomy (usually appendectomy with drainage) have been observed in the literature during the last few years, but in no instance has the etiologic factor been definitely demonstrated. In the case described in this report, the ulcer that followed an appendectomy with drainage was conclusively proved to be amebic in origin. Amebas were found in the pus that exuded from the ulcer of the abdominal wall and were demonstrated in a microscopic section taken from the actively growing edge of the excised ulcer. Although in this patient there had never been a positive history of diarrhea which might be classified as amebic dysentery, the origin of the amebic organisms seems surely to have been from the infected appendix. We cannot offer any proof that the amebic infection had anything to do with the onset or course of the appendicitis,

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