1/10. Pelvic abscess in the second half of pregnancy after oocyte retrieval for in-vitro fertilization: case report.We describe a very late manifestation of pelvic abscesses after oocyte retrieval for in-vitro fertilization (IVF). In a twin pregnancy achieved after intracytoplasmic sperm injection, rupture of bilateral ovarian abscesses occurred at the end of the second trimester. An emergency laparotomy was necessary because of an acute abdomen. This complication led to severe maternal and neonatal morbidity, preterm birth and neonatal death. The rare occurrence of acute abdomen in pregnancy due to pelvic infection and the non-specific symptoms of a pelvic abscess after oocyte retrieval for IVF are discussed.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
2/10. pseudomonas aeruginosa-infected IUD associated with pelvic inflammatory disease. A case report.BACKGROUND: While pelvic infection is known to be an infrequent complication of intrauterine device (IUD) use, infections are usually related to microorganisms introduced at the time of insertion or by sexual contact. CASE: We diagnosed a 35-year-old woman with an IUD for 6 years with pelvic inflammatory disease (PID) and implemented antibiotic therapy. Her clinical course worsened, and exploratory surgery revealed a right tuboovarian abscess with multiple loculated pelvic abscesses. culture of the IUD found heavy growth of pseudomonas aeruginosa. CONCLUSION: P aeruginosa has not previously been described in association with infections of the upper female genital tract. Double coverage with appropriate antipseudomonal agents is essential for proper treatment of pseudomonal infections.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
3/10. Tuboovarian abscess caused by Atopobium vaginae following transvaginal oocyte recovery.A 39-year-old woman with tubarian sterility fell ill with acute pelvic inflammatory disease 2 months after transvaginal oocyte recovery. laparotomy revealed a large tuboovarian abscess, from which Atopobium vaginae, an anaerobic gram-positive coccoid bacterium of hitherto unknown clinical significance, was isolated. The microbial etiology and the risk of pelvic infections following transvaginal punctures are discussed.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
4/10. Ruptured tubo-ovarian abscess as a complication of IVF treatment: clinical, ultrasonographic and histopathologic findings. A case report.Tuboovarian abscess is a rare complication of IVF treatment, which can be lethal on rupture. Hereby, we present a case of a ruptured tubo-ovarian abscess, following transvaginal ultrasound-guided oocyte retrieval for IVF and transcervical embryo trasfer in a 38-year-old white female patient with five years of primary infertility who underwent aspiration of bilateral hydrosalpinges at the time of oocyte retrieval. This case suggests that the reactivation of latent pelvic infection due to a previous pelvic inflammatory disease (PID) was the possible route of infection after transvaginal ultrasound-directed follicle aspiration--transcervical embryo transfer. We conclude that physicians should consider the diagnosis of tubo-ovarian abscess in the differential diagnosis of abdominal pain, fever and leukocytosis after ovum retrieval and transcervical embryo transfer for IVF treatment. Preservation of the uterus and unaffected uterine adnexa should be attempted in such cases if future pregnancy is desired.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
5/10. Beta hemolytic streptococcus group f causing pelvic inflammatory disease in a 14-year-old girl.BACKGROUND: pelvic inflammatory disease in prepubertal and non-sexually active adolescents is rare and poorly understood. Various organisms have been named as causative agents in adolescent pelvic infections. early diagnosis and treatment of pelvic inflammatory disease in young girls is imperative to future fertility and long term sequela. CASE: We present a 14-year-old, menarchal, non-sexually active female with a 3-week history of abdominal pain and fever. Surgical exploration and cultures revealed Stage IV pelvic inflammatory disease caused by Beta streptococcus Group F. CONCLUSION: Various organisms including streptococcal infections should be considered in the differential diagnosis of pelvic inflammatory disease in young girls without risk factors.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
6/10. Pelvic abscess complicating transcervical embryo transfer.A severe pelvic infection resulting in a tuboovarian abscess after transcervical embryo transfer is reported. The case is unique in that the recipient was an agonadal woman who had not undergone prior transvaginal aspiration. Although rare, pelvic infection after embryo transfer may occur in spite of normal precautions.- - - - - - - - - - ranking = 2keywords = pelvic infection (Clic here for more details about this article) |
7/10. Nongonococcal pelvic abscess caused by salmonella enteritidis.A 25-year-old patient presented with salmonella enteritidis gastroenteritis and coexistent pelvic abscess caused by the same organism. After a failed trial of parenteral antibiotics, she underwent surgical therapy. S enteritidis is now documented as a specific agent in pelvic infection.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
8/10. Unilateral ovarian abscess associated with the intrauterine device.Four cases of primary ovarian abscess associated with intrauterine contraceptive devices are presented. It is proposed that both their unilaterality and the fact that they were primary in the ovary rather than tuboovarian are due to the fact that bacteria from the intrauterine device are shed continuously through the fallopian tubes, resulting in the inoculation of the corpus luteum, a unilateral structure. Removal of the ovarian abscess without additional surgical therapy is sufficient for a patient with this type of pelvic infection.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
9/10. diverticulitis mimicking a tuboovarian abscess. Report of a case in a young woman.BACKGROUND: diverticulitis is an uncommon condition in young women. When it occurs, it is often not recognized until complications such as perforation or fistulization occur. There has been no recent discussion in the gynecologic literature of diverticulitis in a young woman presenting as gynecologic disease. CASE: A 31-year-old woman with a long history of "irritable bowel syndrome" developed a 4-5-cm left adnexal mass associated with mild discomfort and dysparunia. Acute worsening of her pain led to abdominal exploration and left salpingo-oophorectomy for an unruptured tuboovarian abscess. She initially improved but then developed a recurrent pelvic abscess. Workup revealed extensive diverticulosis with probable sigmoid diverticulitis. Reexploration, drainage of the abscess and fecal diversion were required. CONCLUSION: Because of the proximity of the left ovary to the sigmoid colon, it is possible for diverticulitis to perforate into the ovary, producing a tuboovarian abscess indistinguishable from that due to other more common causes. A high index of suspicion is required to make the diagnosis, especially in young women. Failure to treat underlying diverticulitis can lead to persistent or recurrent pelvic infection.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
10/10. Ovarian torsion: diagnosis by color Doppler ultrasonography.BACKGROUND: Ovarian torsion, although a rare gynecologic emergency, is a threat to women of all ages. Traditionally, ultrasonography and laparoscopy facilitated early diagnosis and treatment of this condition. This case report highlights the usefulness of color Doppler ultrasonography in the diagnosis of ovarian torsion. CASE: A 25-year-old patient who conceived after ovulation induction was treated conservatively for mild ovarian hyperstimulation and threatened abortion. She subsequently underwent selective first-trimester multifetal reduction and was admitted and treated for suspected pelvic infection. On the 17th post-procedure morning, ovarian torsion was diagnosed using color Doppler ultrasonography. CONCLUSION: Because gynecologists face serious management dilemmas when confronted with ovarian torsion, this technique of using color Doppler ultrasonography should provide a highly specific finding in complete ovarian torsion, aiding the clinician in prompt diagnosis and treatment.- - - - - - - - - - ranking = 1keywords = pelvic infection (Clic here for more details about this article) |
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