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How to approach the rupture of tubo-ovarian abscess during pregnancy: A case report and literature review.
J Obstet Gynaecol Res. 2021 Mar; 47(3):1199-1203.JO

Abstract

We present the case of a 26-year-old multiparous woman who experienced rupture of a tubo-ovarian abscess during the second trimester of pregnancy. She presented with epigastric and right lower quadrant pain at 12 + 0 weeks' gestation. There were no other specific findings on the magnetic resonance imaging images. We recommended hospitalization to observe the changes in pain, but she refused confinement. About 3 weeks later, she revisited our emergency room at 15 + 4 weeks' gestation. She complained of worsening abdominal pain with fever. She underwent right salpingo-oophorectomy and appendectomy due to uncontrollable, severe abdominal pain without any obstetric abnormal condition. There was a rupture site in the right adnexa, which was covered with pus. The rupture of tubo-ovarian abscess during pregnancy is very rare. Therefore, obstetricians should carefully monitor the adnexal masses observed during pregnancy, which should be treated with caution, whether or not the patient is symptomatic.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, South Korea.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

33522055

Citation

Kim, Young Ah, et al. "How to Approach the Rupture of Tubo-ovarian Abscess During Pregnancy: a Case Report and Literature Review." The Journal of Obstetrics and Gynaecology Research, vol. 47, no. 3, 2021, pp. 1199-1203.
Kim YA, Chun KC, Koh JW, et al. How to approach the rupture of tubo-ovarian abscess during pregnancy: A case report and literature review. J Obstet Gynaecol Res. 2021;47(3):1199-1203.
Kim, Y. A., Chun, K. C., Koh, J. W., Song, H. S., & Kim, H. S. (2021). How to approach the rupture of tubo-ovarian abscess during pregnancy: A case report and literature review. The Journal of Obstetrics and Gynaecology Research, 47(3), 1199-1203. https://doi.org/10.1111/jog.14691
Kim YA, et al. How to Approach the Rupture of Tubo-ovarian Abscess During Pregnancy: a Case Report and Literature Review. J Obstet Gynaecol Res. 2021;47(3):1199-1203. PubMed PMID: 33522055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How to approach the rupture of tubo-ovarian abscess during pregnancy: A case report and literature review. AU - Kim,Young Ah, AU - Chun,Kyoung-Chul, AU - Koh,Jae Whoan, AU - Song,Hyoun Suk, AU - Kim,Hee-Sun, Y1 - 2021/01/31/ PY - 2020/07/29/received PY - 2020/12/24/revised PY - 2021/01/18/accepted PY - 2021/2/2/pubmed PY - 2021/2/2/medline PY - 2021/2/1/entrez KW - infections nonobstetric KW - perinatal immunology and inflammation SP - 1199 EP - 1203 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 47 IS - 3 N2 - We present the case of a 26-year-old multiparous woman who experienced rupture of a tubo-ovarian abscess during the second trimester of pregnancy. She presented with epigastric and right lower quadrant pain at 12 + 0 weeks' gestation. There were no other specific findings on the magnetic resonance imaging images. We recommended hospitalization to observe the changes in pain, but she refused confinement. About 3 weeks later, she revisited our emergency room at 15 + 4 weeks' gestation. She complained of worsening abdominal pain with fever. She underwent right salpingo-oophorectomy and appendectomy due to uncontrollable, severe abdominal pain without any obstetric abnormal condition. There was a rupture site in the right adnexa, which was covered with pus. The rupture of tubo-ovarian abscess during pregnancy is very rare. Therefore, obstetricians should carefully monitor the adnexal masses observed during pregnancy, which should be treated with caution, whether or not the patient is symptomatic. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/33522055/How_to_approach_the_rupture_of_tubo-ovarian_abscess_during_pregnancy:_A_case_report_and_literature_review. L2 - https://doi.org/10.1111/jog.14691 DB - PRIME DP - Unbound Medicine ER -
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