Tubo-Ovarian Abscess Complicating Pelvic Inflammatory Disease

Pelvic Inflammatory Disease (PID) usually involves infection of the en-dometrial cavity, the fallopian tubes, and the pelvic peritoneal cavity. The proximity of the ovary to the distal fallopian tube places it at risk for infection from adjacent infected structures; particularly at the time of ovulation, which may provide a portal of entry for organisms to gain access to the ovarian stroma. When infection extends beyond the fallopian tube to involve the ovary, the resultant inflammatory response may isolate and wall-off the distal fallopian tube and ovary. As the normal architecture of the fallopian tube and ovary is destroyed in the host’s attempt to localize the infection, the result is frequently a sizable tubo-ovarian abscess (TOA). In one series a TOA was identified in 34% of women hospitalized with acute PID although the incidence of TOA has been reported to range from 15% to 34%.1,2 Because the incidence of TOA is reported as the percent of hospitalized PID patients with TOAs, the reported incidence vary widely depending on how frequently PID patients are hospitalized for treatment. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

Landers DV, Sweet RL. Tubo-ovarian abscess: Contemporary approach to management. Rev Infect Dis 1983;5:876. Landers DV, Sweet RL. Current trends in the diagnosis and treatment of tuboovarian abscess. Am J Obstet Gynecol 1985;151:1098. Dawood MY, Birnbaum SJ. Unilateral tuboovarian abscess and an intrauterine contraceptive device. Obstet Gynecol 1975;46:429. Golditch IM, Huston JE. Serious pelvic infections associated with intrauterine contraceptive devices. Int J Fertil 1973;18:156. Taylor ES, McMillan JH, Green BE, et al. The intrauterine device. Obstet Gynecol 1975;46:429. Ginsberg DS, Stern JL, Hamod KA, et al. Tuboovarian abscess: A retrospective review. Am J Obstet Gynecol 1980;138:1055. Manara LR. Management of tubo-ovarian abscess. J Am Osteopath Assoc 1982;81:476. Benigno BB. Medical and surgical management of the pelvic abscess. Clin Obstet Gynecol 1981;24:1187. Edelman DA, Berger GS. Contraceptive practice and tuboovarian abscess. Am J Obstet Gynecol 1980;138:541. Franklin EW, Hevron JE, Thompson JD. Management of the pelvic abscess. Clin Obstet Gynecol 1973;16:66. Zaleznik DF, Kasper DL. The role of anaerobic bacteria in abscess formation. Ann Rev Med 1982;38:217. Mickal A, Sellmann AH. Management of tubo-ovarian abscess. Clin Obstet Gynecol 1969;12:252. Lehtenen M, Laine S, Heinonnen PK, et al. Serum C-reactive protein determination in acute pelvic inflammatory disease. Am J Obstet Gynecol 1986;154:158. Mercer LJ, Hajj SM, Ismail MA, et al. Use of creative protein to predict the outcome of medical management of tuboovarian abscesses. J Reprod Med 1988;33:164. Filly RA. Detection of abdominal abscesses: A combined approach employing ultrasonography, computed tomography and gallium-67 scanning. J Assoc Can Radiol 1979;30:202. Taylor KJW, DeGraaft MCI, Wasson JF, Rosenfeld AT, Andriole VT. Accuracy of grey-scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients. Lancet 1978;1:83. Spirtos NJ, Bernstine EL, Crawford WL, Fayle J. Sonography in acute pelvic inflammatory disease. J Reprod Med 1982;27:312. Uhrich PC, Sanders RC. Ultrasonic characteristics of pelvic inflammatory masses. J Clin Ultrasound 1976;4:199. Jasinsky RW, Glazer GM, Francis IR, et al. CT and ultrasound in abscess detection at specific anatomic sites: A study of 198 patients. Comput Radiol 1987;11:41. Ferruci JT Jr, van Sonnonberg E. Intraabdominal abscess: Radiological diagnosis and treatment. JAMA 1981;246:2728–2733. Moir C, Robins RE. Role of ultrasound, gallium scanning and computed tomography in the diagnosis of intraabdominal abscess. Am J Surg 1982; 143:582. Swenson RM, Michaelson TC, Daly MJ, et al. Anaerobic bacterial infections of the female genital tract. Obstet Gynecol 1973;42:538. Thadepalli H, Gorbach SL, Keith L. Anaerobic infections of the female genital tract: Bacteriologic and therapeutic aspects. Am J Obstet Gynecol 1973; 117:1034. Altemeier WA. The anaerobic streptococci in tubo-ovarian abscess. Am J Obstet Gynecol 1940;39:1038. Ledger WJ, Campbell C, Wilson JR. Postoperative adnexal infections. Obstet Gynecol 1968;31:83. Pearson HE, Anderson GV. Genital bacteroidal abscesses in women. Am J Obstet Gynecol 1970;107:1264. Brooks I. Metronidazole and spiramycin in abscess caused by Bacteroides sp. and Staphylococcus aureus in mice. J Antimicrobial Chemother 1987;20:713. Burkman R, Schelesselman S, McCaffrey L, et al. The relationship of genital tract actinomycetes and the development of pelvic inflammatory diseases. Am J Obstet Gynecol 1982;143:585. Schiffer MA, Elguezabal A, Sultana M, Allen AC. Actinomycosis infections associated with intrauterine contraceptive devices. Obstet Gynecol 1975;45:67. Lomax CW, Harbert GM, Thornton WN. Actinomycosis of the female genital tract. Obstet Gynecol 1976;48:341. Henry-Suchet J, Soler A, Loffredo V. Laparoscopic treatment of tuboovarian abscesses. J Reprod Med 1984;29:579. Reich H, McGlynn F. Laparoscpic treatment of tuboovarian and pelvic abscess. J Reprod Med 1987;32:747. Dellenbach P, Mueller P, Philippe E. Infections utero annexielles aigues. Encycl Med Chir Gynecol 1972;470:1410. Reed SD, Landers DV, Sweet RL. Antibiotic treatment of tuboovarian abscess. Am J Obstet Gynecol 1991;164(6):1556. Walters MD, Gibbs RS. A randomized comparison of gentamicin-clindamycin and cefoxitin-doxycycline in the treatment of acute pelvic inflammatory disease. Obstet Gynecol 1990;75:867. Martens MG, Faro S, Hammill H, et al. Comparison of cefotaxime, cefoxitin, and clindamycin plus gentamicin in the treatment of uncomplicated and complicated pelvic inflammatory disease. J Antimicrob Chemother 1990;26(suppl A):37. Sweet RL, Schachter J, Landers DV, et al. Treatment of hospitalized patients with acute pelvic inflammatory disease: Comparison of cefotetan plus dox-ycycline and cefoxitin plus doxycycline. Am J Obstet Gynecol 1988;158:736. Golde SH, Israel R, Ledger WJ. Unilateral tuboovarian abscess: A distinct entity. Am J Obstet Gynecol 1977;127:807. Hemsell DC, Santos-Ramos R, Cunningham FG, et al. Cefotaxime treatment for women with community-acquired pelvic abscesses. Am J Obstet Gynecol 1985;151:171. Rivlin ME. Clinical outcome following vaginal drainage of pelvic abscess. Obstet Gynecol 1983;61:169. Rivlin ME. Golan A, Darling MR. Diffuse peritoneal sepsis associated with colpotomy drainage of pelvic abscess. J Reprod Med 1982;27:406. Rivlin ME, Hunt JA. Ruptured tuboovarian abscess: Is hysterectomy necessary? Obstet Gynecol 1977;50:518. Hager WD. Follow-up of patients with TOA in association with salpingitis. Obstet Gynecol 1983;61:680. Editor information Editors and Affiliations Rights and permissions Copyright information © 1997 Springer Science+Business Media New York About this chapter Cite this chapter Landers, D.V. (1997). Tubo-Ovarian Abscess Complicating Pelvic Inflammatory Disease. In: Landers, D.V., Sweet, R.L. (eds) Pelvic Inflammatory Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-0671-2_6 Download citation DOI: https://doi.org/10.1007/978-1-4612-0671-2_6 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-6863-5 Online ISBN: 978-1-4612-0671-2 eBook Packages: Springer Book Archive

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