Clinical characteristics, treatment status and complications in women with tube ovarian abscess and endometriosis: a retrospective study

Hui Li, Yan Zhao, Xiaohong Chang, Yue Wang, Honglan Zhu
In: Research Square · 2020 · doi:10.21203/rs.3.rs-38751/v2 · W4253780915
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Endometriosis in tube ovarian abscess patients was associated with younger age, lower parity, higher infertility rates, more bleeding, and increased complications like septic shock.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective study reviewed medical records of 113 women hospitalized with tube ovarian abscess (TOA) from 2008–2018, comparing 20 women with surgically and histologically confirmed endometriosis (EM) to 93 women with TOA without EM to assess clinical characteristics, treatment status, and complications. Women with TOA and EM were more often aged 20–39, had lower parity and higher infertility history, and showed higher complication rates, with greater intraoperative blood loss; among the three EM-group complications were septic shock (two cases) and intestinal obstruction (one case), including one occurring after IVF. The authors reported that EM did not significantly increase the difficulty or time of TOA treatment, and that many inflammatory markers and other examined factors did not differ between groups. This paper is centrally about endometriosis — it specifically compares outcomes of tube ovarian abscess in women with and without endometriosis and reports higher complication and bleeding rates in the endometriosis group.

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Abstract

Abstract Background : The aim of our present study was to investigate the clinical characteristics, treatment status and complications in women with endometriosis (EM) and tube ovarian abscess (TOA) to determine the possible association between TOA and EM. Methods: Medical records were used to analyze the clinical characteristics, treatment and complications. Twenty women who were diagnosed with TOA with EM were compared with 93 women diagnosed as having TOA without EM between January, 2008 and December, 2018. Results: In this study, TOA patients with EM were significantly more likely to have a lower age range (20–39years) than the non-EM group (11/20 (55.0%) vs 27/93 (29.0%)). In addition, TOA patients with EM were associated with a significantly lower rate of parity (11/20 (55.0%) vs 75/93 (80.6%),), higher rates of infertility (8/20(40%) vs 0/93(0%),) and a significantly lower incidence of elevated blood platelet counts (5/20 (25%) vs 43/93 (53.8%)). Furthermore, women with EM had greater blood loss (347±445.77 vs 204.67±289.46) and an increased complication rate (3/20(15%) vs 0/93(0%)). Among the 3 patients who had complications in the EM group, 2 patients had septic shock and 1 patient had intestinal obstruction. And 1 case who had septic shock followed by IVF treatment. There was no significance difference on other factors. Conclusions: The present study indicated that EM did not increase the difficulty and time of treatment in patients with TOA, but increased bleeding during surgery and serious complications. It is suggested that doctors should pay more attention to postoperative treatment and nursing in women with TOA and EM, especially those who have a history of recent infertility treatment and related procedures.

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endometriosisinfertility

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