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References in periodicals archive ?
On the basis of clinical history and further workup a pre-operative diagnosis of a probable right sided tubo-ovarian abscess was made.
Acute appendicitis, tubo-ovarian abscess, or endometritis was included into the differential diagnosis.
In addition, the girls who needed hospitalization after January 1998 were 24% less likely to have a tubo-ovarian abscess compared with the girls with delayed hospitalization before 1998.
An association does exist between the use of intrauterine contraceptive devices, pelvic inflammatory disease, and unilateral or bilateral tubo-ovarian abscess, one of the most serious complications of pelvic inflammatory disease.[32-36] Associated microorganisms include Actinomyces,[35] Staphylococcus aureus,[32,33,36] Streptococcus (Enterococcus) faecalis,[32] E coli[33,36] viridans streptococci, B fragilis, Torulopsis (Candida) glabrata, and group B streptococci.[36] It is thought that the colonization of the IUD in the endometrial cavity is followed by the shedding of bacteria through the lumen of the fallopian tube.
Additional criteria--Children's Hospital recommends the presence of one of the following: * oral temperature >38.3[degrees] C * abnormal cervical or vaginal discharge * elevated erythrocyte sedimentation rate * elevated c-reactive protein * lab documentation of cervical infection with Neisseria Gonorrhea or Chlamydia Trachornatis * histopathologic evidence of endometritis on endometrial biopsy * tubo-ovarian abscess on sonography or other radiological tests * laparoscopic abnormalities consistent with PID 3.
At surgery a right tubo-ovarian abscess was found and a normal appendix removed.
Erlich et al., "Differentiation between right tubo-ovarian abscess and appendicitis using CT--A diagnostic challenge," Clinical Radiology, vol.
(4) Differential diagnoses to be considered include: pyometra, tubo-ovarian abscess, red degeneration of leiomyoma, or septic abortion.