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Unbound Medicine.
(Tubo ovarian abscess)
610 results
  • 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. 2020 Dec 16 [Online ahead of print]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. 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. 2021 Jan; 41(1):118-123.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…
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