Laparoscopic management of an endometrioma complicated by an ovarian abscess

Rameshvari Shah, Jitesh Shah, Meghana Mehta
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2013 · pp. 473–474 · doi:10.5455/2320-1770.ijrcog20130950 · W2166002909
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Abstract

An ovarian abscess is defined as a primary infection of the ovary without the involvement of the fallopian tube. The possible factors for the cause of ovarian abscess are: disruption of the ovarian capsule, giving access to bacteria, haematogenous and lymphatic spread. A woman with a ruptured ovarian abscess presents with features of diffuse peritonitis. An unruptured abscess is more difficult to diagnose. Unruptured abscess can be dealt with either laparotomy or laparoscopy. Ruptured ovarian abscess requires an aggressive and primarily surgical approach.
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Keywords

Ovarian abscess, Tubo-ovarian abscess, EndometriomaAbstract An ovarian abscess is defined as a primary infection of the ovary without the involvement of the fallopian tube. The possible factors for the cause of ovarian abscess are: disruption of the ovarian capsule, giving access to bacteria, haematogenous and lymphatic spread. A woman with a ruptured ovarian abscess presents with features of diffuse peritonitis. An unruptured abscess is more difficult to diagnose. Unruptured abscess can be dealt with either laparotomy or laparoscopy. Ruptured ovarian abscess requires an aggressive and primarily surgical approach. Metrics

References

Dicker D, Dekel A, Orvieto R, Bar-hava I, Feldberg D, Ben- Rafael Z. Ovarian abscess after ovum retrieval for in-vitro fertilization. Hum Reprod. 1998;13:1813-4. Vimala N, Kothari N, Mittal S, Kumar S, Dadhwal V. Primary ovarian abscess in pregnancy. JK science 2004;6:40-2. Kavoussi SK, Pearlman MD, Burke WM, Lebovic DI. Endometrioma complicated by tubo-0varian abscess in a woman with bacterial vaginosis. Infect Dis Obstet Gynecol 2006;2006:84140. Kubota T, Ishi K, Takeuchi H. A study of tubo-ovarian and ovarian abscesses with a focus on cases with endomertioma. J Obstet Gynecol Res.1997 Oct;23(5):421-6. Chen MJ, Yang JH, Yang YS, Ho HN. Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis. Fertil Steril. 2004 Aug;82(2):498-9. Mikamo M, Kawazoe K, Sato Y, Itoh M, Tamaya T. Ovarian abscess caused by peptostreptococcus magnus following transvaginal ultrasound guided aspiration of ovarian endometrioma. Infect Dis Obstet Gynecol 1998;6:66-8.

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