High risk and low prevalence diseases: Tubo-ovarian abscess

Bridwell, Rachel E.; Koyfman, Alex; Long, Brit

doi:10.1016/j.ajem.2022.04.026

Cited by 8 publications

(7 citation statements)

References 63 publications

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“…The differential diagnoses of ovarian abscesses encompass conditions such as endometrioid cysts, appendiceal masses, diverticulitis, and malignancy [ 2 , 3 ]. In this particular case, ovarian tumor was suspected by CT and transvaginal ultrasound, and there were no indications of any other gastrointestinal diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients are sexually active, and the risk factors are similar to those of PID [1] . Besides symptoms of abdominal pain and fever, a TOA is difficult to diagnose because of its atypical clinical presentation [2] . In this study, we encountered a case in which a woman with no risk factors for PID, such as a sexually active state or intrauterine manipulation, had recurrent abdominal pain and fever, which made the differential diagnosis difficult.…”

Section: Introductionmentioning

confidence: 99%

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A case of periodic abdominal pain and fever due to left ovarian abscess

Tanabe,

Uehara,

Ichida

et al. 2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A case of periodic abdominal pain and fever due to left ovarian abscess

Tanabe,

Uehara,

Ichida

et al. 2024

Radiology Case Reports

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“…A suspected diagnosis of TOA is made clinically based on physical examination and confirmed via CT and US [ 2 ]. Recommendations include the use of transvaginal US to confirm suspicion, and then CT is incorporated if there is concern for malignancy or suspected gastrointestinal pathology, such as appendicitis or diverticulitis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…If left untreated, it may result in morbidities including sepsis, infertility, chronic pelvic pain, distortion of pelvic anatomy, ectopic pregnancy, and recurrent PID [ 1 ]. A TOA may present with abdominal pain, fever, nausea, vomiting, an elevated white blood cell count, and infrequently present with vaginal symptoms [ 2 ]. Literature has demonstrated that computed tomography (CT) scans with oral and intravenous (IV) contrast have improved sensitivity by 78%-100% when compared to ultrasound (US), 75%-82% [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Perplexing Tubo-Ovarian Abscess Presentation from an Inflammatory Process in a Patient with an Inconclusive Computed Tomography Scan

Menendez,

Moriarty,

Perera

et al. 2023

Cureus

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A tubo-ovarian abscess (TOA) is an infectious mass of the adnexa. This article presents a well-documented case of a 27-year-old female presenting to the emergency department with a TOA. Physical exam findings and an initial computed tomography scan (CT) with contrast revealed a right iliopsoas abscess, an inflammatory process in the right lower quadrant, later diagnosed as a TOA with the use of ultrasound (US) without a history of sexually transmitted infection (STI). The clinical decision tree utilized in this patient’s case highlights the importance of keeping a TOA high on the list of differential diagnoses while investigating appendicitis and other inflammatory pathologies in the lower abdomen.

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“…The need to go through the abdomen and subcuta-of like tissues, however, degrades the clarity of the final picture. As a novel method of pelvic imaging, transvaginal sonography [16] is able to circumvent several of the drawbacks of the more commonplace transabdominal scanning. An incomplete abortion, ectopic pregnancy, or early embryo may all be diagnosed with precision with a transvaginal transducer [17].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transvaginal and Transabdominal Ultrasound in the Diagnosis of Adnexal Masses

Iqbal¹,

Batool²,

Ashraf³

et al. 2022

PJMHS

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Objective: Our research aims to compare the diagnostic efficacy of transvaginal and transabdominal ultrasonography for detecting adnexal masses. Study Design: A Comparative study Place and Duration: Conducted at Central Park Medical College, Lahore, during from the period August 2021 to January 2022. Methods: This study included 84 women. Once written consent has been obtained, we involve consideration such as aging, gender, menstrual abnormalities (Oligomenorrhea / Menstrual periods), infertility, recurrent multiple miscarriages, series of acts, acne vulgaris, and obesity. The ultrasound data included the location, size, borders, hypoechoic and dilatation of ovary lesions. Group M had 42 patients and underwent for transvaginal ultrasound, whereas group N had transabdominal ultrasound with MRI. Using histological results (positive/negative), frequency of adnexal mass among all cases were compared. SPSS 20.0 analyzed all data. Results: In group M mean parity was 3.5±2.13 and in group N parity was 2.9±4.13. Most common complaint among all cases was infertility and irregular cycle. We found that frequency of adnexal mass in group M was lower than that of group N. It was determined that the specificity, positive predictive value, and negative predictive value of transvaginal sonography were all lower than those of transabdominal sonography. Conclusion: In this study, we came to the conclusion that abdominal ultrasonography combined with MRI was superior in terms of its usefulness and efficacy in identifying adnexal masses with genuine levels of both specificity and sensitivity. Keywords: Accuracy, Transvaginal ultrasonography,Transabdominal ultrasonography, Adnexal Masses, Complications,

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High risk and low prevalence diseases: Tubo-ovarian abscess

Cited by 8 publications

References 63 publications

A case of periodic abdominal pain and fever due to left ovarian abscess

A case of periodic abdominal pain and fever due to left ovarian abscess

Perplexing Tubo-Ovarian Abscess Presentation from an Inflammatory Process in a Patient with an Inconclusive Computed Tomography Scan

Comparison of Transvaginal and Transabdominal Ultrasound in the Diagnosis of Adnexal Masses

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