AIM The aim of this paper was to study the characteristics of patients presenting to Middlemore Hospital with tubo-ovarian abscess (TOA) and to compare the outcomes of conservative medical management versus medical management with surgical drainage and medical management with radiological drainage. METHODS All patients admitted with a radiologically or surgically proven TOA between January 01...

ObjectiveTo compare the success rate, complications, and hospital length-of-stay of 3 modalities minimally invasive management tubo-ovarian abscesses (TOAs): laparoscopy, ultrasound-guided drainage, computed tomography–guided drainage.Data SourcesElectronic-based search in PubMed, EMBASE, Ovid MEDLINE, Google Scholar, Cochrane Central Register Controlled Trials, using following Medical Subject ...

Abdou R, Miller T. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220183 DESCRIPTION A female aged 18 years presented 2 weeks postnormal vaginal delivery with worsening generalised abdominal pain radiating to the back since delivery, with associated night sweats. She was vomiting, had loose bowel motions and had difficulty passing urine, but denied dysuria. On examination, she was febrile, tachypnoeic...

A 38 year old lady with a previous history of an ovarian cyst, presented with a one week history of fever, diarrhoea and intense localized pain in the left iliac fossa. Laparotomy revealed a left tuboovarian abscess with adherent bowels. Pus from the ruptured cyst grew Salmonella enteritidis. Histologically the cyst wall showed haemorrhagic and degenerate endometriotic features. Recovery was un...

A 32-year-old pregnant woman presented to the hospital with abdominal pain and minimal vaginal bleeding. Transvaginal ultrasound revealed visible fluid in pelvic region with suspected tubal rupture, and subsequently laparoscopy was performed. During laparoscopy, additional gynecologic pathologies were noticed. Histopathologic finding showed dermoid and endometriotic cyst, as well as tubo-ovaria...