Tubo-ovarian abscess in the 39th week of pregnancy (case report)


Authors: A. Piegzová 1;  V. Unzeitig 2
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice s poliklinikou, Karviná Ráj, přednosta MUDr. P. Fiala 1;  Gynekologicko-porodnická klinika OU a FN, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA 2
Published in: Ceska Gynekol 2017; 82(4): 322-326

Overview

Objective:
A case of tubo-ovarian abscess in a patient with term pregnancy.

Design:
Case report.

Setting:
Department of Obstetrics and Gynaecology, Nemocnice s poliklinikou Karviná Ráj.

Case report:
I hereby report a case of a patient in her 39th week of pregnancy hospitalized for abdominal pain and vomiting. Due to unclear aetiology and growing dynamics of inflammatory markers the ending of the pregnancy by induction of labour was indicated. Postpartum examination performed through computed tomography determines the cause of current problems. Conservative therapy of the diagnosed adnexal abscess, however, is insufficient. In the fourth postpartum day, the patient is indicated for surgical intervention and unilateral salpingo oophorectomy is performed.

Conclusion:
Even though rare during this period, some forms of clinical pelvic inflammatory disorders during pregnancy have to be taken into consideration. Timely and correct diagnosis combined with adequate therapy is of vital importance for reduction of perinatal and maternal mortality and morbidity.

Keywords:
pelvic inflammatory disease, tubo-ovarian abscess, term pregnancy


Sources

1. Al-Kuran, O., Beitawi, S., Al-Mehaisen, L. Pelvic abscess complicating an in vitro fertilization pregnancy and review of the literature. J assisted Reprod Genetics, 2008, 25, 7, p. 341.

2. Andrikopoulou, M. Tubo-ovarian abscess in second trimester of pregnancy after transvaginal oocyte retrieval: challenges in management. International Archives of Urology and Complications [online]. 2016, 2(1), - [cit. 2017-05-18]. DOI: 10.23937/2469-5742/1510016. ISSN 24695742. Dostupné z: https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-2-016.php?jid=iauc

3. Augustin, G. Acute abdomen during pregnancy. Springer International Publishing, 2014.

4. Biringer, K., Zubor, P., Visnovsky, J., Danko, J. Delayed delivery following unusual flare-up pelvic abscess after in vitro fertilization and embryo transfer. Fertil Steril [online]. 2009, 91(5), 1956.e5-1956.e7 [cit. 2017-05-18]. DOI: 10.1016/j.fertnstert.2009.01.110. ISSN 00150282. Dostupné z: http://linkinghub.elsevier.com/retrieve/pii/S001502820900243X

5. Blanchard, AC., Pastorek 2nd, JG., Weeks, T. Pelvic inflammatory disease during pregnancy. Southern med J, 1987, 80, 11, p. 1363–1365.

6. Dashow, EE., Cotterill, R., Bemiller, D. Ruptured tuboovarian abscess in early gestation. A case report. J Reproduct Med, 1990, 35, 4, p. 418.

7. Friedman, S., Bobrow, LM. Pelvic Inflammatory disease in pregnancy: A review of the literature and report of 5 cases. Obstet Gynecol, 1959, 14, 4, p. 417–425.

8. Han, C., et al. In vitro fertilization complicated by rupture of tubo-ovarian abscess during pregnancy. Taiwan J Obstet Gynecol, 2015, 54, 5, p. 612-616.

9. Chen, Y., et al. Tuboovarian abscess in pregnancy. Taiwan J Obstet Gynecol, 2008, 47, 3, p. 370–371.

10. Jafari, K., et al. Tubo ovarian abscess in pregnancy. Acta Obstet Gynec Scand, 1977, 56, 1, p. 1-4.

11. Kepkep, K., Tunçay, YA., Yigitbasi, R. Nocardial tubo-ovarian abscess in a pregnant woman: A rare case report. Austral New Zealand J Obstet Gynaecol, 2006, 46, 4, p. 363–365.

12. Kim, JW., et al. Term delivery following tuboovarian abscess after in vitro fertilization and embryo transfer. Amer J Obstet Gynecol, 2013, 208, 5, p. e3–e6.

13. Krivak, T., Propst, A., Horowitz, G. Tubo ovarian abscess: principles of contemporary management. Female Patient Practical Ob Gyn Medicine Then Ob Gyn Edition, 1997, 22, p. 22–31.

14. Landers, DV., Sweet, RL. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis, 1983, 5, 5, p. 876–884.

15. Navada, HM., Bhat, BPR. Pelvic inflammatory disease in the form of peritoneal abscess complicating late pregnancy. Case Reports in Obstetrics and Gynecology [online]. 2011, 2011, 1-3 [cit. 2017-05-18]. DOI: 10.1155/2011/851598. ISSN 2090-6684. Dostupné z: http://www.hindawi.com/journals/criog/2011/851598/

16. Nkwabong, E., Bechem, E., Fomulu, JN. Tubo-ovarian abscess during pregnancy: a case report. Internet J Gynecol Obstet, 2013, 17, 2.

17. Pařízek, A., et al. Kritické stavy v porodnictví. 1. vyd. Praha: Galén, 2012, 285 s.

18. Patounakis, G., et al. Development of pelvic abscess during pregnancy following transvaginal oocyte retrieval and in vitro fertilization. Eur J Obstet Gynecol Reprod Biol, 2012, 164, 1, p. 116–117.

19. Sherer, DM., Schwartz, BM., Abulafia, O. Management of pelvic abscess during pregnancy: a case and review of the literature. Obstet Gynec Survey, 1999, 54, 10, p. 655–662.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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