Olgu Sunumu
BibTex RIS Kaynak Göster

Down sendromlu cinsel olarak aktif olmayan bir gençte tubo-ovaryan apse: Olgu sunumu ve literatürün kısa bir gözden geçirilmesi

Yıl 2018, Cilt: 2 Sayı: 3, 364 - 366, 01.09.2018
https://doi.org/10.28982/josam.417557

Öz

Tubo-ovarian apse, cinsel olarak aktif olan kadınlarda pelvik inflamatuar hastalık komplikasyonu olarak sık görülürken, cinsel olarak aktif olmayanlarda çok nadir görülür. Hastalık genellikle karın ağrısı ve ateş gibi spesifik olmayan semptomlarla ve / veya daha az sıklıkla vajinal akıntı ile kendini gösterir, bu nedenle acil hekimin erken tanı koyması zor olabilir. Hekimin tubo-ovarian apseyi hızlı bir şekilde teşhis etmesine veya dışlamasına ‘’point-of-care ultrasound’’ sistemi yani taşınabilir ultrason cihazı ile yatak başında hastanın ultrasonografisini yapması yardımcı olur. Tıbbi olarak (geniş spektrumlu antibiyotik tedavisi ile) veya cerrahi olarak (lezyonun drenaj veya çıkarılmasıyla) tedavi edilir. Karın ağrısı nedeniyle acil servise başvuran hastaların ayırıcı tanısında cinsel olarak aktif olmadıkları için pelvik inflamatuvar hastalık ve tubo-ovarian apse yer almıyorsa, gecikmeli tanıya bağlı ciddi komplikasyonlar görülebilir. Acil hekimleri cinsel olarak aktif olmayan hastada tubo-ovarian apse tanısını koyup tedavi ederken cinsel istismar yönünden uyanık olmalıdırlar. Down sendromu olan bir çocukta, zayıf kişisel hijyen ile ilişkili olduğu düşünülen ilk tubo-ovarian apse literatürün kısa bir gözden geçirmesiyle birlikte sunuldu.

Kaynakça

  • 1. Soper DF. Genitourinary infections and sexually transmitted diseases. In: Berek JS, ed, Novak's Gynecology. 14th Ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007: 549–52.
  • 2. Krivak TC, Cooksey C, Propst AM. Tubo-ovarian abscess: diagnosis, medical and surgical management. Compr Ther. 2004;30(2):93-100.
  • 3. Cho HW, Koo YJ, Min KJ, et al. Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: a Single-Center Experience and Literature Review. J Pediatr Adolesc Gynecol. 2017;30(2):203-8.
  • 4. Ashrafganjooei T, Harirchi I, Iravanlo G. Tubo-ovarian abscess in a virgin girl. Iran J Reprod Med. 2011;9(3):247–50.
  • 5. Clark JF, Moore-Hines S. A study of tubo-ovarian abscess at Howard University Hospital (1965 through 1975). J Natl Med Assoc. 1979;71(11):1109-11.
  • 6. Hartmann KA, Lerand SJ, Jay MS. Tubo-ovarian abscess in virginal adolescents: exposure of the underlying etiology. J Pediatr Adolesc Gynecol. 2009;22:13-6.
  • 7. Pomeranz A, Korzets Z, Eliakim A, et al. Relapsing Henoch-Schönlein purpura associated with a tubo-ovarian abscess due to Morganella morganii. Am J Nephrol. 1997;17(5):471-3.
  • 8. Kim MH, Shin YK, Eun BL, et al. A Case of Bilateral Tubo-Ovarian Abscesses in a One-and-Half Year-Old Girl. Korean J Pediatr. 2000;43(3):432-7.
  • 9. Sirotnak AP, Eppes SC, Klein JD. Tuboovarian Abscess and Peritonitis Caused by Streptococcus pneumoniae Serotype 1 in Young Girls. Clin Infect Dis. 1996;22(6):993-6.
  • 10. Arda IS, Ergeneli M, Coskun M, et al. Tubo-ovarian abscess in a sexually inactive adolescent patient. Eur J Pediatr Surg. 2004;14(1):70-2.
  • 11. Goodwin K, Fleming N, Dumont T. Tubo-ovarian abscess in virginal adolescent females: a case report and review of the literature. J Pediatr Adolesc Gynecol. 2013;26(4):99-102.
  • 12. Cheong LHA, Emil S. Non-sexually transmitted tubo-ovarian abscess in an adolescent. J Ped Surg Case Reports. 2013;1:378-80.
  • 13. Sacks DA, Niswander KR, Easton TH. Tubo-ovarian abscess at puberty. West J Med. 1977;127(6):513-15.
  • 14. Moore MM, Cardosi RJ, Barrionuevo MJ. Tubo-ovarian Abscess in an Adolescent Virgin Female. Arch Pediatr Adolesc Med. 1999;153(1):91-2.
  • 15. Simpson-Camp L, Richardson EJ, Alaish SM. Streptococcus viridans tubo-ovarian abscess in an adolescent virgin. Pediatr Int. 2012;54(5):706-9.
  • 16. Sakar MN, Gul T, Atay AE. Tubo-ovarian abscess presenting as an ovarian tumor in a virginal adolescent: A case report. Clin Exp Obstet Gynecol. 2012;39(3):388-9.

Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature

Yıl 2018, Cilt: 2 Sayı: 3, 364 - 366, 01.09.2018
https://doi.org/10.28982/josam.417557

Öz

Tuba-ovarian abscess, a complication of pelvic inflammatory disease commonly seen in sexually active women, is very rarely encountered in sexually inactive ones. It commonly presents with non-specific symptoms like abdominal pain and fever and/or less commonly with vaginal discharge so it may be challenging for the emergency physician to make the diagnosis promptly. Point-of-care ultrasound may help physician to rapidly diagnose or exclude tubal ovarian abscess. It can be treated medically (with broad-spectrum antibiotic therapy) or surgically (by drainage or removal of the lesion). If pelvic inflammatory disease and tubal ovarian abscess are not included in the differential diagnosis of patients admitted to emergency department due to abdominal pain because the patient is not sexually active, the patient may suffer from some serious complications due to delayed diagnosis. Emergency physicians should be vigilant due to the possibility of sexual abuse while treating a sexually inactive patient with tubal ovarian abscess. The first case of tubal ovarian abscess, thought to be related to poor personal hygiene, in a child with Down syndrome was presented together with a short review of the literature.

Kaynakça

  • 1. Soper DF. Genitourinary infections and sexually transmitted diseases. In: Berek JS, ed, Novak's Gynecology. 14th Ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007: 549–52.
  • 2. Krivak TC, Cooksey C, Propst AM. Tubo-ovarian abscess: diagnosis, medical and surgical management. Compr Ther. 2004;30(2):93-100.
  • 3. Cho HW, Koo YJ, Min KJ, et al. Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: a Single-Center Experience and Literature Review. J Pediatr Adolesc Gynecol. 2017;30(2):203-8.
  • 4. Ashrafganjooei T, Harirchi I, Iravanlo G. Tubo-ovarian abscess in a virgin girl. Iran J Reprod Med. 2011;9(3):247–50.
  • 5. Clark JF, Moore-Hines S. A study of tubo-ovarian abscess at Howard University Hospital (1965 through 1975). J Natl Med Assoc. 1979;71(11):1109-11.
  • 6. Hartmann KA, Lerand SJ, Jay MS. Tubo-ovarian abscess in virginal adolescents: exposure of the underlying etiology. J Pediatr Adolesc Gynecol. 2009;22:13-6.
  • 7. Pomeranz A, Korzets Z, Eliakim A, et al. Relapsing Henoch-Schönlein purpura associated with a tubo-ovarian abscess due to Morganella morganii. Am J Nephrol. 1997;17(5):471-3.
  • 8. Kim MH, Shin YK, Eun BL, et al. A Case of Bilateral Tubo-Ovarian Abscesses in a One-and-Half Year-Old Girl. Korean J Pediatr. 2000;43(3):432-7.
  • 9. Sirotnak AP, Eppes SC, Klein JD. Tuboovarian Abscess and Peritonitis Caused by Streptococcus pneumoniae Serotype 1 in Young Girls. Clin Infect Dis. 1996;22(6):993-6.
  • 10. Arda IS, Ergeneli M, Coskun M, et al. Tubo-ovarian abscess in a sexually inactive adolescent patient. Eur J Pediatr Surg. 2004;14(1):70-2.
  • 11. Goodwin K, Fleming N, Dumont T. Tubo-ovarian abscess in virginal adolescent females: a case report and review of the literature. J Pediatr Adolesc Gynecol. 2013;26(4):99-102.
  • 12. Cheong LHA, Emil S. Non-sexually transmitted tubo-ovarian abscess in an adolescent. J Ped Surg Case Reports. 2013;1:378-80.
  • 13. Sacks DA, Niswander KR, Easton TH. Tubo-ovarian abscess at puberty. West J Med. 1977;127(6):513-15.
  • 14. Moore MM, Cardosi RJ, Barrionuevo MJ. Tubo-ovarian Abscess in an Adolescent Virgin Female. Arch Pediatr Adolesc Med. 1999;153(1):91-2.
  • 15. Simpson-Camp L, Richardson EJ, Alaish SM. Streptococcus viridans tubo-ovarian abscess in an adolescent virgin. Pediatr Int. 2012;54(5):706-9.
  • 16. Sakar MN, Gul T, Atay AE. Tubo-ovarian abscess presenting as an ovarian tumor in a virginal adolescent: A case report. Clin Exp Obstet Gynecol. 2012;39(3):388-9.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Olgu sunumu
Yazarlar

Ramazan Cahit Temizkan

Muhammet Mesut Nezir Engin

Harun Güneş Bu kişi benim

Önder Kılıçaslan Bu kişi benim

Merve Aslantaş

Murat Kaya Bu kişi benim

Kenan Kocabay

Yayımlanma Tarihi 1 Eylül 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 2 Sayı: 3

Kaynak Göster

APA Temizkan, R. C., Engin, M. M. N., Güneş, H., Kılıçaslan, Ö., vd. (2018). Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature. Journal of Surgery and Medicine, 2(3), 364-366. https://doi.org/10.28982/josam.417557
AMA Temizkan RC, Engin MMN, Güneş H, Kılıçaslan Ö, Aslantaş M, Kaya M, Kocabay K. Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature. J Surg Med. Eylül 2018;2(3):364-366. doi:10.28982/josam.417557
Chicago Temizkan, Ramazan Cahit, Muhammet Mesut Nezir Engin, Harun Güneş, Önder Kılıçaslan, Merve Aslantaş, Murat Kaya, ve Kenan Kocabay. “Tuba-Ovarian Abscess in a Sexually Inactive Teenager With Down Syndrome: Case Report and Brief Review of Literature”. Journal of Surgery and Medicine 2, sy. 3 (Eylül 2018): 364-66. https://doi.org/10.28982/josam.417557.
EndNote Temizkan RC, Engin MMN, Güneş H, Kılıçaslan Ö, Aslantaş M, Kaya M, Kocabay K (01 Eylül 2018) Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature. Journal of Surgery and Medicine 2 3 364–366.
IEEE R. C. Temizkan, “Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature”, J Surg Med, c. 2, sy. 3, ss. 364–366, 2018, doi: 10.28982/josam.417557.
ISNAD Temizkan, Ramazan Cahit vd. “Tuba-Ovarian Abscess in a Sexually Inactive Teenager With Down Syndrome: Case Report and Brief Review of Literature”. Journal of Surgery and Medicine 2/3 (Eylül 2018), 364-366. https://doi.org/10.28982/josam.417557.
JAMA Temizkan RC, Engin MMN, Güneş H, Kılıçaslan Ö, Aslantaş M, Kaya M, Kocabay K. Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature. J Surg Med. 2018;2:364–366.
MLA Temizkan, Ramazan Cahit vd. “Tuba-Ovarian Abscess in a Sexually Inactive Teenager With Down Syndrome: Case Report and Brief Review of Literature”. Journal of Surgery and Medicine, c. 2, sy. 3, 2018, ss. 364-6, doi:10.28982/josam.417557.
Vancouver Temizkan RC, Engin MMN, Güneş H, Kılıçaslan Ö, Aslantaş M, Kaya M, Kocabay K. Tuba-ovarian abscess in a sexually inactive teenager with Down syndrome: Case report and brief review of literature. J Surg Med. 2018;2(3):364-6.