2016
DOI: 10.1016/j.ijgo.2016.04.006
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The value of ultrasonographic tubo‐ovarian abscess morphology in predicting whether patients will require surgical treatment

Abstract: Although increased TOA size, fever at admission, and parity were associated with increased odds of patients with TOA requiring surgical treatment, ultrasonographic TOA morphology was not.

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Cited by 43 publications
(39 citation statements)
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“…Increased age, a high WCC and a cyst >6 cm in size are thought to be associated with an increased risk for surgery 11. In our case, all three of these conditions were present.…”
Section: Discussionsupporting
confidence: 48%
“…Increased age, a high WCC and a cyst >6 cm in size are thought to be associated with an increased risk for surgery 11. In our case, all three of these conditions were present.…”
Section: Discussionsupporting
confidence: 48%
“…Roberts et al recom- mended [18] immediate laparoscopy since they observed an initial response of 20-87% with medical management as opposed to 90-100% with early laparoscopy. Several studies examined the risk factors of surgery after failed medical treatment for TOA patients, and the consensus was that abscess size is an important predictive index of antibiotic treatment failure [5,[19][20][21]. In those studies, abscess diameter of ≥5-6.5 cm was a significant parameter that increased the risk for surgery.…”
Section: Discussionmentioning
confidence: 99%
“…Nevertheless, studies of the pregnancy outcomes of pelvic abscess and TOA are rare. In the present study, pregnancy outcomes could not be evaluated, but more bilateral adhesions were found in the late [6,26,27], parity [19,26,28], high levels of WBC [6,26,29], high levels of CRP [20], and smoking [6] as high risk factors for failure to conservative treatment in patients with pelvic abscesses. In contrast to those findings, Topcu et al [5] and Mizushima et al [30] reported that age, levels of WBC and CRP, gravida, parity, body temperature, and rate of smoking were not high risk factors predicting antibiotic therapy failure.…”
Section: Discussionmentioning
confidence: 99%
“…Early surgical intervention can reduce morbidity and mortality in TOA patients who do not respond to antibiotics. Several studies of demographic and clinical characteristics associated with antibiotic treatment failure in TOA patients have shown that the TOA size and age of the patient are significantly related and proportional to the need for surgical treatment (6)(7)(8)(9)(10)(11). Early recognition of a patient's risk of antibiotic treatment failure alerts clinicians to the need to change the treatment strategy, thereby reducing acute and long-term complications of TOA.…”
Section: Discussionmentioning
confidence: 99%