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

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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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