A Rare Case of Ovarian Abscess Secondary to Salmonella typhi Infection in Women with MRKH: A Case Report and Review of Literature.

Namita Jain, Gupta P, Kriplani I, Kriplani A
Journal of obstetrics and gynaecology of India · 2025 · doi:10.1007/s13224-023-01925-x · PMID:40390893 · PMC12085482
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A 32-year-old woman with MRKH syndrome presented with a Salmonella typhi-induced ovarian abscess mimicking a mucinous cystadenoma, highlighting a rare complication in this population.

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This case report describes a 32-year-old woman with Mayer-Rokitansky-Kuster-Hauser syndrome who presented with fever of unknown origin and was found to have a right-sided ovarian abscess during staging laparotomy. Histopathological analysis revealed that the abscess resulted from a Salmonella typhi infection superimposed on an existing ovarian endometrioma, despite the patient’s congenital absence of a functional uterus. The authors note that while Salmonella infections of ovarian endometriomas are documented, this specific presentation in a patient with MRKH is exceptionally rare. This paper is centrally about endometriosis — specifically, the superinfection of an ovarian endometrioma by Salmonella typhi in a patient with Müllerian agenesis.

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Abstract

Most common clinical presentation of a woman with MRKH is primary amenorrhea. It is rare to have pelvic masses in women with MRKH. Only few cases have been reported in literature. Although many case reports of ovarian abscesses have been published, none has been published of an ovarian abscess secondary to Salmonella typhi infection in a woman with MRKH. We report a case of a 32 yr old woman with fever of unknown origin unresponsive to medical management. During her fever work up, her blood tests suggested typhoid infection while her MRI suggested right sided ovarian mass with high suspicion of mucinous cystadenoma. On staging laparotomy, huge right sided ovarian abscess was found. Right salpingo-oopherectomy was performed. Pus culture suggested Salmonella typhi infection and histopathology suggested infected ovarian endometrioma.
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Abstract

Most common clinical presentation of a woman with MRKH is primary amenorrhea. It is rare to have pelvic masses in women with MRKH. Only few cases have been reported in literature. Although many case reports of ovarian abscesses have been published, none has been published of an ovarian abscess secondary to Salmonella typhi infection in a woman with MRKH. We report a case of a 32 yr old woman with fever of unknown origin unresponsive to medical management. During her fever work up, her blood tests suggested typhoid infection while her MRI suggested right sided ovarian mass with high suspicion of mucinous cystadenoma. On staging laparotomy, huge right sided ovarian abscess was found. Right salpingo-oopherectomy was performed. Pus culture suggested Salmonella typhi infection and histopathology suggested infected ovarian endometrioma. Abbreviations - MRKH: - Mayer-Rokitansky-Kustner-Hauser

References

Pathiraja PDM, Rafi J, Woolnough E, Clare A. Bali Belly: Salmonella senftenberg found in an infected ovarian endometrioma. Hindawi Case Rep Obstet Gynecol. 2020;2020:3. Munro K, Gharaibeh A, Nagabushanam S, Martin C. Diagnosis and management of tubo-ovarian abscesses. Obstet Gynaecol. 2018;20:11–9. Mehta D, Parulekar SV. Salmonella infection of ovarian endometrioma in case of cervico vaginal atresia and bicornuate uterus. J Postgrad Gynecol Obstet 2017. Volume 4 no. 2. Adelman MW, Johnson JH, Hohmann EL, Gandhi RT. Ovarian endometrioma superinfected with Salmonella: case report and review of the literature. Open Forum Infect Dis. 2017;4(2):ofx048. Funding None. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest The authors declare that they have no competing interests. Ethical Approval The study, a retrospective data collection, didn’t need any approval by the local ethics committee. Informed Consent Written informed consent taken from the patient. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Namita Jain is a Consultant; Prachi Gupta is an Associate Consultant; Isha Kriplani is an Associate Consultant; and Alka Kriplani is a Head of Department. Rights and permissions About this article Cite this article Jain, N., Gupta, P., Kriplani, I. et al. A Rare Case of Ovarian Abscess Secondary to Salmonella typhi Infection in Women with MRKH: A Case Report and Review of Literature. J Obstet Gynecol India 75 (Suppl 1), 520–522 (2025). https://doi.org/10.1007/s13224-023-01925-x Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-023-01925-x

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