Association Between Endometriosis and Tubo-Ovarian Abscess

Emre Erdem Taş, Hüseyin Levent Keskin, Gülin Feykan Yeğin, Ulviyye Ismayilova, Ayşe Filiz Yavuz
In: Journal of Clinical Gynecology and Obstetrics · 2016 · vol. 5(1) , pp. 17–22 · doi:10.14740/jcgo388w · W4255663196
article OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This study investigated the incidence of endometriosis in 118 tubo-ovarian abscess patients, finding it present in 17.8% and more prevalent than expected, with no significant clinical differences between groups except hemoglobin levels.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This study assessed the incidence of endometriosis among 118 patients surgically treated for tubo-ovarian abscess (TOA), and compared clinical-demographic characteristics between those with histologically confirmed endometriosis with TOA and those without. Using final histopathology to classify cases, endometriosis with TOA was found in 21 patients (17.8%), including individuals in both reproductive age and postmenopause; the only statistically significant group difference reported was hemoglobin (P=0.039). The paper concludes that endometriosis with TOA appears more prevalent than expected and does not note other significant clinical or demographic differences. This paper is centrally about endometriosis — it quantifies histologically confirmed endometriosis among TOA patients and compares associated clinical characteristics, including in postmenopausal women.

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Abstract

Background: Tubo-ovarian abcesses (TOAs) are complicating factors in approximately one-fourth of hospitalized cases of acute pelvic inflammatory disease (PID). However, many women with TOAs have no antecedent history of PID or sexually transmitted diseases. Moreover, it has not been fully elucidated that which risk factors are associated with TOA and TOAs will develop at whom. In recent studies, it has been questioned whether endometriosis is a risk factor for TOA. The purpose of the study was to identify the incidence of endometriosis in patients who have been surgically treated due to TOA and to search clinical-demographical differences among the groups with and without endometriosis.

Methods

A total of 118 patients were divided into two groups according to pathologic results, whether endometriosis with TOAs was confirmed histologically, or not, and demographical-clinical characteristics were investigated.

Results

The mean age of patients was 40.9 ± 8.5 years and 21 (17.8%) were postmenopausal. The intrauterine device was in situ at the time of TOA diagnosis in 49 (41.5%) patients. Concomitant disease and previous pelvic surgery history were identified in 16 (13.6%) and 43 (36.4%) patients, respectively. Final histopathological analyses revealed endometriosis with TOA in 21 (17.8%) patients. When all patients were divided into two groups with and without endometriosis and compared according to clinical and demographical characteristics, there were not any significant differences identified (P > 0.05), except hemoglobin values (P = 0.039).

Conclusion

Endometriosis with TOA is not only in reproductive period but also in menopause, more prevalent than expected for normal population. J Clin Gynecol Obstet. 2016;5(1):17-22 doi: http://dx.doi.org/10.14740/jcgo388w

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endometriosis

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