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Unbound Medicine.
(Tubo ovarian abscess)
620 results
  • Pelvic actinomycosis: A confusing diagnosis. [Journal Article]
    Int J Surg Case Rep. 2021 Sep; 86:106387.Ferjaoui MA, Arfaoui R, … Neji K
  • CONCLUSIONS: Pelvic actinomycosis is an extremely rare chronic infection. This entity is difficult to diagnose. Accurate diagnosis can reduce complications and unnecessary surgeries, and can preserve fertility.
  • Pelvic inflammatory disease presenting 16 months after vaginal hysterectomy: A case report and literature review. [Case Reports]
    Case Rep Womens Health. 2021 Jul; 31:e00335.Cabello-Garcia E, Ferriols-Pérez E, … González-Comadran M
  • Pelvic inflammatory disease after hysterectomy is rare and the underlying route of infection is highly heterogeneous. We report the case of a 52-year-old woman with a history of vaginal hysterectomy for uterine prolapse admitted to the emergency department with acute abdominal pain and fever. Vaginal discharge and pelvic tenderness were evident in the clinical examination. Ultrasound and computed…
  • Mesenteric ectopic pregnancy with tubo-ovarian abscess. [Case Reports]
    Radiol Case Rep. 2021 May; 16(5):1165-1168.Son SY, Wu E, … O'Neill C
  • An ectopic pregnancy is the implantation of a fertilized ovum in a location other than the main cavity of the uterus. Ectopic pregnancies are reported in approximately 1%-2% of pregnancies, and while 95% of ectopic pregnancies are in fallopian tubes, only 3% are in ovarian, cervical, or abdominal sites. We present a case of a 38-year-old female with acute onset of severe lower abdominal pain, sep…
  • The prediction of surgical intervention in patients with tubo-ovarian abscess. [Journal Article]
    J Obstet Gynaecol. 2021 Feb 25 [Online ahead of print]Hwang JH, Kim BW, … Kim JH
  • The aim of this study was to compare the clinical characteristics of patients with tubo-ovarian abscess (TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure. Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA. Demographic, clinical, and laboratory data including white blood c…
  • How to approach the rupture of tubo-ovarian abscess during pregnancy: A case report and literature review. [Case Reports]
    J Obstet Gynaecol Res. 2021 Mar; 47(3):1199-1203.Kim YA, Chun KC, … Kim HS
  • 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 confi…
  • Brucella pelvic tubo-ovarian abscess with a history of chronic brucellosis. [Case Reports]
    IDCases. 2021; 23:e01029.Najib B, Abdallah W, … Atallah D
  • Brucellosis is a zoonotic disease located especially in Central and South America, India, the Mediterranean and the Middle East. Human brucellosis occurs as a systemic infectious disease with various clinical manifestations. We present a case of 45-year-old female patient, nulliparous, not sexually active, with a previous medical history of a treated brucellosis, and no surgical or gynecological …
  • Tubo-Ovarian Abscess in Non-Sexually Active Adolescent Girls: A Case Series and Literature Review. [Journal Article]
    J Pediatr Adolesc Gynecol. 2021 Jun; 34(3):328-333.Fei YF, Lawrence AE, McCracken KA
  • CONCLUSIONS: These cases, in conjunction with previous case reports, emphasize the importance of considering TOA in patients with concerning imaging or examination findings despite lack of sexual activity. Given the large proportion of cases attributable to anaerobic gut flora, treatment with antibiotics with adequate anaerobic coverage is recommended. Surgical drainage is not always necessary, but is often needed for diagnostic purposes or in patients not clinically improving with conservative measures.
  • Impact of early surgical management on tubo-ovarian abscesses. [Journal Article]
    J Obstet Gynaecol. 2020 Nov 28 [Online ahead of print]Zhu S, Ballard E, … Tanaka K
  • This 5-year retrospective study aimed to investigate whether early surgical management improves outcomes in patients presenting with a tubo-ovarian abscess (TOA). Patient characteristics, investigation results and treatment outcomes were compared. 50 women were diagnosed with a TOA during the study period. Nineteen (38.0%) were treated with antibiotics (medical group) and thirty one (62.0%) were …
  • Unexpected finding of urachal remnant cyst. Tips for laparoscopic approach. [Case Reports]
    Int J Surg Case Rep. 2020; 77S:S139-S142.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. [Review]
    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. 2021 03; 28(3):556-564.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, http://www.crd.york.ac.uk/PROSPERO;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…
  • A Rare Pelvic "Mass-Querader": Acute Urinary Retention Secondary to Hematocolpos in a Preadolescent Patient. [Case Reports]
    Mil Med. 2020 12 30; 185(11-12):2171-2172.Bezjian Wallace L, Wallace P, Herness J
  • We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24 hours. She denied menstruation or sexual history. Bedside bladder ultrasound scan revealed 1.2 L of retained urine and a Foley catheter was placed. A formal renal ultrasound detec…
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