Bilateral tubo-ovarian abscesses presenting with huge pelvic mass after repeated intrauterine inseminations in a woman with severe endometriosis
| Autor: | Patsama Vichinsartvichai |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty 030219 obstetrics & reproductive medicine business.industry Pelvic pain medicine.medical_treatment Peritoneal fluid Endometriosis Obstetrics and Gynecology Greater omentum medicine.disease tubo-ovarian abscess Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine medicine.symptom Complication business Pelvic Infection |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 44:792-796 |
| ISSN: | 1341-8076 |
| DOI: | 10.1111/jog.13570 |
| Popis: | A 32-year-old woman consulted for an evaluation of pelvic pain following intrauterine insemination (IUI). Vaginal and abdominal sonography, septic workup were performed and laparoscopic surgery was scheduled after failure to respond to a course of antibiotics. During laparoscopic surgery, bilateral tubo-ovarian abscesses arising on the endometriotic cysts of both ovaries were identified with a vast amount of brownish peritoneal fluid under the adhesion of the greater omentum. Bilateral ovarian cystectomy, right salpingectomy and lysis adhesion were performed. Pathologic organisms were not detected in any of the specimen cultures. Pelvic infection is an uncommon complication following IUI. Endometriosis might be a risk factor predisposing the pelvic organ to be susceptible to such infection. Performing IUI in a patient with endometriosis should be done with great vigilance. |
| Databáze: | OpenAIRE |
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