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tubo-ovarian abscess (TOA)

An abscess involving the fallopian tube & the ovary. Etiology: -> extension of purulent inflammation of the fallopian tube Epidemiology: - 100,000 hospitalizations/year Clinical manifestations: - lower abdominal pain - adnexal or cervical motion tenderness - mass on vaginal palpation - fever [2] Management: 1) broad-spectrum antibiotics - may be used in combination with transvaginal ultrasound guided aspiration [2] 2) surgery

General

pelvic abscess

References

  1. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
  2. Gjelland K, Ekerhovd E, Granberg S. Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: a study of 302 cases. Am J Obstet Gynecol. 2005 Oct;193(4):1323-30. PMID: 16202721