Salmonella-induced adnexal abscess superimposed on ovarian endometrioma and adenomyosis

Duc Truong Nguyen, Vo TD, Trieu Dat Vo, Bich Thuy Duong, Bích Thủy Dương, Duong BT, Luu HD, Huỳnh Đức Lưu, Huynh Duc Luu
BMJ case reports · 2026 · vol. 19(7) , pp. e273940 · doi:10.1136/bcr-2026-273940 · PMID:42476600 · W7169778650
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⚙ AI-generated summary by claude@2026-08, 2026-08-02 ⓘ

This case report details the surgical management of a rare Salmonella-induced tubo-ovarian abscess superimposed on ovarian endometrioma and adenomyosis, finding laparoscopy optimal after 72 hours of antibiotics.

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Abstract

Salmonella-induced tubo-ovarian abscesses (TOAs) in patients with ovarian endometriomas and coexisting adenomyosis are rare and surgically challenging due to dense adhesions. We report a woman in her late 30s presenting with 2 weeks of worsening left iliac fossa pain. She exhibited cervical motion tenderness and significantly elevated inflammatory markers, including a white blood cell (WBC) count of 22.7×109/L and CRP of 185.9 mg/L. Ultrasound revealed a 7.1 cm complex left adnexal cyst. After 72 hours of intravenous antibiotics (ceftriaxone, metronidazole) and oral doxycycline, she successfully underwent a laparoscopic left adnexectomy, subtotal hysterectomy with right salpingectomy, at her request. She recovered fully within 2 weeks. This case demonstrates that laparoscopy is the preferred management for complicated TOA with endometrioma and adenomyosis, and that 72 hours postantibiotic initiation is the optimal timing for surgery.

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MeSH descriptors

Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

References (8)

SciLite annotations

organisms 2
salmonella salmonella
chemicals 3
ceftriaxone metronidazole doxycycline

Source provenance

europepmc
last seen: 2026-08-07T06:07:27.085738+00:00
openalex
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pubmed
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