Tubo-ovarian abscess after tubal ligation.
West Indian Med J
; 47(3): 113-4, 1998 Sep.
Article
em En
| MEDLINE
| ID: mdl-9861865
ABSTRACT
PIP: This paper presents the case of a 32-year-old woman who developed a tubo-ovarian abscess 7 years following tubal ligation via minilaparotomy. Symptoms experienced included pain, which was exacerbated by walking, and mild deep dyspareunia. Abdominal and pelvic examinations revealed pain in the left iliac fossa, cervical excitation tenderness, and an ill-defined left adnexal mass. Sonographic evaluation of the pelvis showed an irregularly shaped, cystic mass (8.0 x 4.5 x 5.3 cm) with thickened internal septations and solid parts. A left tubo-ovarian multilobulated complex mass adherent to the omentum and the pelvic side was found upon laparotomy. There was pus in the Pouch of Douglas, and the uterus was 10 weeks in size with symmetrical enlargement. The previously ligated right fallopian tube and the ovary were unremarkable. Management includes left adnexectomy, omental biopsy, and 5-day course of antibiotics against Staphylococcus aureus, which was cultured from the purulent material in the Pouch of Douglas. Tubo-ovarian abscess should be considered in diagnosing patients presenting symptoms of pelvic inflammatory disease.
Palavras-chave
Americas; Biology; Caribbean; Developing Countries; Diseases; Examinations And Diagnoses; Family Planning; Female Sterilization; Genitalia; Genitalia, Female; North America; Ovarian Effects; Ovary; Physiology; Signs And Symptoms; Sterilization, Sexual; Technical Report; Treatment; Tubal Ligation; Tubal Occlusion; Urogenital System; Virgin Islands (united Kingdom)
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Ovarianas
/
Infecções Estafilocócicas
/
Esterilização Tubária
/
Abscesso
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
West Indian Med J
Ano de publicação:
1998
Tipo de documento:
Article
País de publicação:
Jamaica