Sequential radiological and surgical management of tubo-ovarian abscess: a success story
Keywords:TOA, Tubo-ovarian abscess, PID
A tubo-ovarian abscess (TOA) is a complex mass of infectious etiology in the adnexa forming as a sequela of pelvic inflammatory disease (PID). If the abscess ruptures, there is a risk of life-threatening infection. Thus, it requires great degree of suspicion for the correct diagnosis followed by prompt evaluation and treatment. This case is reported with the aim to describe the unusual presentation of TOA without a significant history of PID and the unconventional way of TOA drainage.
Gradison M. Pelvic inflammatory disease. Am Fam Phys. 2012;85(2012):791-6.
Oride A, Kanasaki H, Miyazaki K. Therapeutic process of gynecological pelvic abscess - retrospective review of 20 cases. Surg Sci. 2013;4(3):202-9.
Dewitt J, Reining A, Allsworth JE, Peipert JF. Tubo-ovarian abscesses: is size associated with duration of hospitalization & complications? Obstet Gynecol Int. 2010;2010:847041.
Stanley K, Morato D, Chilstrom M. Ultrasound diagnosis of bilateral tubo-ovarian abscesses in the emergency department. West J Emerg Med. 2013;14(6):641-2.
T. Perez-Medina, M.A. Huertas, J.M. Baio Early ultrasound-guided transvaginal drainage of tubo-ovarian abscesses: a randomized study. Ultrasound Obstet Gynecol. 1996;7(1996):435-8.
Halperin R, Levinson O, Yaron M, Bukovsky I, Schneider D. Tubo-ovarian abscess in older women: is the woman’s age a risk factor for failed response to conservative treatment? Gynecol Obstet Invest. 2003;55(4):211-5.
Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynaecol. 2009;23(5):667-78.
Corsi PJ, Johnson SC, Gonik B, Hendrix SL, McNeeley SG Jr, Diamond MP. Transvaginal ultrasound-guided aspiration of pelvic abscesses. Infect Dis Obstet Gynecol. 1999;7(5):216-21.
Garbin O, Verdon R, Fauconnier A. [Treatment of tubo-ovarian abscesses]. J Gynecol Obstet Biol Reprod (Paris). 2012;41(8):875-85.