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(Tubo ovarian abscess)
598 results
  • Unexpected finding of urachal remnant cyst. Tips for laparoscopic approach. [Case Reports]
    Int J Surg Case Rep. 2020 Sep 11 [Online ahead of print]Calagna G, Rotolo S, … Cucinella G
  • CONCLUSIONS: The urachal cyst, which results from the accumulations of secretions in urachal remnant, presents as a single or multiple parietal abdominal mass, per se asymptomatic. However, this condition is not without risk and infection represents the most common complication. Ultrasound is very useful in the diagnostic phase. Today, the main approach has become laparoscopic excision, with particular attention to a radical removing of the mass, due to high recurrence rate and the risk of malignancy.In our experience, laparoscopy represents an excellent diagnostic and therapeutic tool for urachal cyst, especially for patients with acute urgent conditions, doubtful clinical history, and no clear signs or symptoms.
  • Sexually Transmitted Infections Part 2: Discharge Syndromes and Pelvic Inflammatory Disease. [Journal Article]
    Pediatr Rev. 2020 Oct; 41(10):522-537.Lemly D, Gupta N
  • Sexually transmitted infections (STIs) disproportionately affect young people, with more than half of the infections occurring in youth aged 15 to 25 years. (1)(2) This review, the second in a 2-part series on STIs, focuses on infections that may cause abnormal vaginal or penile discharge, including trichomonas, chlamydia, gonorrhea, and pelvic inflammatory disease (PID). Most infected persons, h…
  • Outcomes of Minimally Invasive Management of Tubo-ovarian Abscess: A Systematic Review. [Review]
    J Minim Invasive Gynecol. 2020 Sep 28 [Online ahead of print]Goje O, Markwei M, … Soper DE
  • CONCLUSIONS: Although conservative management of TOAs with antibiotics alone remains first-line, our review indicates that better outcomes in the management of TOA were achieved by minimally invasive approach compared with conservative treatment with antibiotics only. Of the minimally invasive techniques, image-guided drainage of TOAs provided the highest success rates, the fewest complications, and the shortest hospital stays compared with laparoscopy. The low magnitude of evidence in the included studies calls for further randomized trials. This systematic review was registered in the International Prospective Register of Systematic Review (register,;CRD 42020170345).
  • [Management of Pelvic Inflammatory Disease]. [Journal Article]
    Ther Umsch. 2020; 77(4):164-170.Siegenthaler F, Krause E, Mueller MD
  • Management of Pelvic Inflammatory Disease Abstract. Pelvic inflammatory disease (PID) is a common medical problem, but the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. As PID might cause late complications such as infertility or chronic pelvic pain, it is of prime importance that the diagnosis of PID is made promp…
  • Tubo-ovarian abscess in postmenopausal women: A systematic review. [Review]
    J Gynecol Obstet Hum Reprod. 2020 Nov; 49(9):101789.Gil Y, Capmas P, Tulandi T
  • CONCLUSIONS: TOA is not a frequent finding in postmenopausal women. Yet, it may lead to or mask significant morbidity or mortality. A somewhat surprising risk factor for TOA in postmenopausal women is the presence or following removal of a longstanding IUD. The risk of malignancy is lower than previously described.
  • A Curious Case of Blastomyces Osteomyelitis. [Case Reports]
    Cureus. 2020 Mar 25; 12(3):e7417.Sapra A, Pham D, … Hui J
  • Blastomycosis is an uncommon disease caused by the dimorphic fungus, Blastomyces dermatitidis, often found in endemic regions of Midwestern America. It can be found in forested, sandy soils, decaying vegetation, rotting wood near water sources, and even in bird feces. Most commonly, blastomycosis manifests as a pulmonary infection presenting as pneumonia, or in severe cases, respiratory distress …
  • Early diagnosis and treatment challenges of endodermal sinus tumors: A case report. [Case Reports]
    Case Rep Womens Health. 2020 Jul; 27:e00198.Perry MF, Jackson AL, … Billingsley CC
  • CONCLUSIONS: ESTs are extremely aggressive and require prompt referral and early treatment with chemotherapy. Presenting symptoms of pain and a mass can lead to a broad range of differential diagnoses. In such patients, early consideration of tumor markers is warranted. This case report reviews the key aspects for prompt diagnosis and rapid treatment of these tumors, which significantly impacts the prognosis.
  • Concurrent Escherichia coli tubo-ovarian abscess and Campylobacter jejuni gastroenteritis: A case report. [Case Reports]
    Case Rep Womens Health. 2020 Apr; 26:e00192.King AL, Stamatopoulos N
  • Haematogenous or direct spread of bacterial infection causing pelvic inflammatory disease of the upper female reproductive tract is uncommon. We report a diagnostically challenging case of a 41-year-old woman with a background of Stage 4 endometriosis presenting with fever, diarrhoea and abdominal pain with recent history of pyelonephritis. Initially managed for undifferentiated abdominal pain wi…
  • Pelvic inflammatory disease among users and non-users of an intrauterine device. [Journal Article]
    J Obstet Gynaecol. 2020 Mar 09 [Online ahead of print]Levin G, Dior UP, … Rottenstreich A
  • The correlation between pelvic inflammatory disease (PID) and a present intrauterine device (IUD) has been debated. We aimed to evaluate the differences between IUD users and non-users among women hospitalised with a diagnosis of PID. Our hypothesis was that the role of a present IUD among PID patients is minimal, if any. We performed a retrospective cohort study during 2010-2018 in a tertiary un…
  • Pelvic inflammatory diseases: Updated French guidelines. [Review]
    J Gynecol Obstet Hum Reprod. 2020 May; 49(5):101714.Brun JL, Castan B, … SPILF
  • Pelvic inflammatory diseases (PID) must be suspected when spontaneous pelvic pain is associated with induced adnexal or uterine pain (grade B). Pelvic ultrasonography is necessary to rule out tubo-ovarian abscess (TOA) (grade C). Microbiological diagnosis requires endocervical and TOA sampling for molecular and bacteriological analysis (grade B). First-line treatment for uncomplicated PID combine…
  • Pneumoperitoneum secondary to tubo-ovarian abscess: A case report. [Case Reports]
    Case Rep Womens Health. 2020 Apr; 26:e00181.Aryad R, Molakatalla S
  • Pneumoperitoneum seen on an X-ray or computed tomography (CT) image points to a diagnosis of ruptured viscus and immediate surgery is warranted. A case of tubo-ovarian abscess (TOA) presenting with pneumoperitoneum is unusual. Very few cases have been reported where the pneumoperitoneum is caused by an abscess involving the adnexa. We present the case of a 17-year-old patient who presented with a…
  • Hydronephrosis Due to Bilateral Tubo-ovarian Abscess. [Journal Article]
    Clin Pract Cases Emerg Med. 2020 Feb; 4(1):92-93.Fite E, Fitzgerald J, Kistenfeger Q
  • A 27-year-old female presented to the emergency department with fevers, nausea, chills, and non-specific bilateral lower quadrant abdominal pain. A pregnancy test was negative. Computed tomography demonstrated moderate left hydronephrosis secondary to tubo-ovarian abscess (TOA). The abscess was so large it distorted local anatomy and compressed the ureters. She was prescribed merepenem and admitt…
  • Bacteremia and urogenital infection with Actinomyces urogenitalis following prolonged urinary retention. [Case Reports]
    APMIS. 2020 Jan; 128(1):20-24.Holmgaard DB, Marina D, … Christensen JJ
  • A case of bacteremia with the fastidious bacteria Actinomyces urogenitalis following lengthy urinary retention is reported in a sixty-year-old man. In 2013, the first case of bacteremia due to A. urogenitalis was presented, secondary to a tubo-ovarian abscess following transvaginal oocyte retrieval. To the best of our knowledge, this is the first male bacteremic episode involving A. urogenitalis …
  • Female Nonobstetric Genitourinary Emergencies. [Review]
    Emerg Med Clin North Am. 2019 Nov; 37(4):771-784.Mahonski S, Hu KM
  • The emergency medicine provider sees a broad range of pathology involving the female genitourinary system on a daily basis. Must-not-miss diagnoses include pelvic inflammatory disease and ovarian torsion, because these diagnoses can have severe complications and affect future fertility. Although most patients with abnormal uterine bleeding are hemodynamically stable, it can present as a life-thre…
  • Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention. [Review]
    Am Fam Physician. 2019 09 15; 100(6):357-364.Curry A, Williams T, Penny ML
  • Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis-associated, and respiratory pathogens, including Mycobacterium tuberculosis, may be involved. PID can be acute, chronic, or subclinical and is of…
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