Helicobacter cinaedi
is a rarely encountered pathogen that easily induces bacteremia. Various foci of
H. cinaedi
infection have been reported; however, no case of adnexal abscess caused by
H. cinaedi
has been reported in the English literature. We herein report a case of ovarian abscess caused by
H. cinaedi
.
A 38-year-old nulligravid Japanese woman was admitted to our hospital with an adnexal abscess. Clinical findings included fever, leukocytosis, and elevated C-reactive protein. Laparoscopic right partial oophorectomy with abdominal lavage was performed.
H. cinaedi
was isolated from cultures of blood and ovarian abscess fluid after surgery. Intravenous ampicillin/sulbactam was administered for 2 weeks, followed by oral amoxicillin for an additional 2 weeks. The postoperative course was uneventful and clinical findings improved. There was no evidence of relapse.
H. cinaedi
can cause ovarian abscess and is likely an under-recognized pathogen.
HighlightsNo case of abdominal pregnancy implanted on the surface of a subserosal uterine leiomyoma has previously been reported.We herein report the case of abdominal pregnancy implanted on the surface of a pedunculated subserosal uterine leiomyoma.The uterine leiomyoma with gestational tissue was resected laparoscopically and the postoperative course was uneventful.
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