Rüptüre endometrioma sonrası gelişen tubo-ovarian apse; virgin kadınlarda nadir görülen bir olgu sunumu ve literatür araştırması
Yıl 2020,
Cilt: 27 Sayı: 2, 250 - 253, 01.06.2020
Onur Günaldı
,
Hakan Peker
Berna Haliloğlu Peker
Öz
Endometrioma kist rüptürü ile birlikte
tubo-ovarian apse(TOA) varlığı, virgin kadınlarda akut batın etyolojisinin çok
nadir görülen bir nedenidir. Şiddetli karın ağrısı şikayeti ile gelen bir
hasta, bu tanıyla yatırılarak intravenöz antibiyotik tedavisi başlandı.
Hastanın şikayetlerinde gerileme olmadığı için laparoskopi yapıldı. Akut batın
tablosuyla gelen kadınlarda hangi yaş grubunda olursa olsun ayırıcı tanılar
arasında mutlaka TOA’de bulunmalı ve hızlı bir şekilde tanı konularak tedavi
yapılmalıdır. Çünkü, tedavinin gecikmesi ile morbidite ve mortalite oranları
artış göstermektedir.
Kaynakça
- 1. Dewitt J, Reining A, Allsworth JE, et al: Tuboovarian abscesses: is size associated with duration of hospitalization and complications? Obstet Gynecol Int 2010; 2010: 847041
- 2. K.A. Hartmann MD, S.J. Lerand MD, MPH and M.S. Jay MD. Tubo-ovarian Abscess in Virginal Adolescents: Exposure of the Underlying Etiology. Journal of Pediatric and Adolescent Gynecology 2009; 22: 13-16
- 3. Lareau SM, Beigi RH: Pelvik inflammatory disease and tubo-ovarian abscess. Infect Dis Clin North Am 2008; 22: 693
- 4. Mollen CJ, Pletcher JR, Bellah RD, et al: Prevalence of tubo-ovarian abscess in adolescents diagnosed with pelvic inflammatory disease in a pediatric emergency department. Pediatr Emerg Care 2006; 22: 621
- 5. Rein DB, Kassler WJ, Irwin KL, et all: Direct medical cost of pelvic inflammatory disease and its sequelae: decreasing, but stil substantial. Obstet Gynecol 2000; 95: 397
- 6. Chen MJ, Yang JH, Ho HN, et al: Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis. Fertil Steril 2004; 82: 498-499
- 7. D’Hooghe T.M., and Hill J.A.: Endometriosis. In Berek , and Novak's (eds): Gynecology, 14th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. pp. 1137-1184
- 8. Dean T.: Abdominal emergencies from spontaneous rupture of endometrial cysts. Lancet 1951; 1: pp. 1380-1383
- 9. Murao H., Miura K., Ohata N., Kinjo K., Nakamoto S., and Hashiguchi M.: A clinical study of 70 cases of ruptured ovarian endometrial cysts. Acta Obstet Gynaecol Jpn 2001; 53: pp. 1850-1853
- 10. Rapkin A.J., and Howe C.N.: Pelvic pain and dysmenorrhea. In Berek , and Novak's (eds): Gynecology, 14th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. pp. 505-540
- 11. Shigeru Suzuki, Mayumi Yasumoto, Reiko Matsumoto and Akihiko Andoh. MR findings of ruptured endometrial cyst: Comparison with tubo-ovarian abscess. European Journal of Radiology, 2012; 81: pp. 3631-37
- 12. Kubota T., Ishi K., and Takeuchi H.: A study of tubo-ovarian and ovarian abscesses, with a focus on cases with endometrioma. J Obstet Gynaecol Res 1997; 23: pp. 421-426
- 13. Lin Y.H., Hwang J.L., Seow K.M., et al: Tubo-ovarian abscess with septic shock in a case of endometrioma following diagnostic hysteroscopy. Taiwan J Obstet Gynecol 2010; 49: pp. 359-360
- 14. Shinichi Togami MD, PhD, Hiroaki Kobayashi MD, PhD, Maki Haruyama MD, Yuji Orita MD, Masaki Kamio MD, PhD and Tsutomu Douchi MD, PhD. A Very Rare Case of Endometriosis Presenting With Massive Hemoperitoneum. Journal of Minimally Invasive Gynecology, The, 2015; 22: pp.691-93
- 15. Elizur SE, Lebovitz O, Weintraub AY, et al. Pelvic inflammatory disease in women with endometriosis is more severe than in those without. Aust N Z J Obstet Gynaecol 2014;54:162–5.
- 16. Claire Villette, Antoine Bourret, Pietro Santulli, Vanessa Gayet, Charles Chapron and Dominique de Ziegler. Risks of tubo-ovarian abscess in cases of endometrioma and assisted reproductive technologies are both under- and overreported. Fertility and Sterility, 2016; 106: pp 410-15
- 17. Hyun-Woong Cho , Yu-Jin Koo , Kyung-Jin Min , Jin-Hwa Hong and Jae-Kwan Lee. Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review. Journal of Pediatric and Adolescent Gynecology, 2017; 30: pp. 203-08
- 18. K. Goodwin , N. Fleming and T. Dumont . Tubo-ovarian Abscess in Virginal Adolescent Females: A Case Report and Review of the Literature. Journal of Pediatric and Adolescent Gynecology, 2013; 26: pp. 99-102
- 19. K.A. Hartmann , S.J. Lerand , MPH and M.S. Jay . Tubo-ovarian Abscess in Virginal Adolescents: Exposure of the Underlying Etiology. Journal of Pediatric and Adolescent Gynecology, 2009; 22: pp. 13-16
Tubo-ovarian abscess after ruptured endometrioma; A rare case report in virgin women and literature review
Yıl 2020,
Cilt: 27 Sayı: 2, 250 - 253, 01.06.2020
Onur Günaldı
,
Hakan Peker
Berna Haliloğlu Peker
Öz
The presence of tubo-ovarian abscess (TOA) with endometrioma cyst rupture is a very rare cause of acute abdomen in virgin women. A patient with severe abdominal pain was hospitalized with this diagnosis and intravenous antibiotic treatment was started. Laparoscopy was performed because the patient's complaints did not regress. Women with acute abdomen should be present in the TOA between the differential diagnoses regardless of the age group, and the diagnosis should be made quickly. Because the delay in treatment and morbidity and mortality rates increase.
Kaynakça
- 1. Dewitt J, Reining A, Allsworth JE, et al: Tuboovarian abscesses: is size associated with duration of hospitalization and complications? Obstet Gynecol Int 2010; 2010: 847041
- 2. K.A. Hartmann MD, S.J. Lerand MD, MPH and M.S. Jay MD. Tubo-ovarian Abscess in Virginal Adolescents: Exposure of the Underlying Etiology. Journal of Pediatric and Adolescent Gynecology 2009; 22: 13-16
- 3. Lareau SM, Beigi RH: Pelvik inflammatory disease and tubo-ovarian abscess. Infect Dis Clin North Am 2008; 22: 693
- 4. Mollen CJ, Pletcher JR, Bellah RD, et al: Prevalence of tubo-ovarian abscess in adolescents diagnosed with pelvic inflammatory disease in a pediatric emergency department. Pediatr Emerg Care 2006; 22: 621
- 5. Rein DB, Kassler WJ, Irwin KL, et all: Direct medical cost of pelvic inflammatory disease and its sequelae: decreasing, but stil substantial. Obstet Gynecol 2000; 95: 397
- 6. Chen MJ, Yang JH, Ho HN, et al: Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis. Fertil Steril 2004; 82: 498-499
- 7. D’Hooghe T.M., and Hill J.A.: Endometriosis. In Berek , and Novak's (eds): Gynecology, 14th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. pp. 1137-1184
- 8. Dean T.: Abdominal emergencies from spontaneous rupture of endometrial cysts. Lancet 1951; 1: pp. 1380-1383
- 9. Murao H., Miura K., Ohata N., Kinjo K., Nakamoto S., and Hashiguchi M.: A clinical study of 70 cases of ruptured ovarian endometrial cysts. Acta Obstet Gynaecol Jpn 2001; 53: pp. 1850-1853
- 10. Rapkin A.J., and Howe C.N.: Pelvic pain and dysmenorrhea. In Berek , and Novak's (eds): Gynecology, 14th ed. Philadelphia: Lippincott Williams & Wilkins, 2006. pp. 505-540
- 11. Shigeru Suzuki, Mayumi Yasumoto, Reiko Matsumoto and Akihiko Andoh. MR findings of ruptured endometrial cyst: Comparison with tubo-ovarian abscess. European Journal of Radiology, 2012; 81: pp. 3631-37
- 12. Kubota T., Ishi K., and Takeuchi H.: A study of tubo-ovarian and ovarian abscesses, with a focus on cases with endometrioma. J Obstet Gynaecol Res 1997; 23: pp. 421-426
- 13. Lin Y.H., Hwang J.L., Seow K.M., et al: Tubo-ovarian abscess with septic shock in a case of endometrioma following diagnostic hysteroscopy. Taiwan J Obstet Gynecol 2010; 49: pp. 359-360
- 14. Shinichi Togami MD, PhD, Hiroaki Kobayashi MD, PhD, Maki Haruyama MD, Yuji Orita MD, Masaki Kamio MD, PhD and Tsutomu Douchi MD, PhD. A Very Rare Case of Endometriosis Presenting With Massive Hemoperitoneum. Journal of Minimally Invasive Gynecology, The, 2015; 22: pp.691-93
- 15. Elizur SE, Lebovitz O, Weintraub AY, et al. Pelvic inflammatory disease in women with endometriosis is more severe than in those without. Aust N Z J Obstet Gynaecol 2014;54:162–5.
- 16. Claire Villette, Antoine Bourret, Pietro Santulli, Vanessa Gayet, Charles Chapron and Dominique de Ziegler. Risks of tubo-ovarian abscess in cases of endometrioma and assisted reproductive technologies are both under- and overreported. Fertility and Sterility, 2016; 106: pp 410-15
- 17. Hyun-Woong Cho , Yu-Jin Koo , Kyung-Jin Min , Jin-Hwa Hong and Jae-Kwan Lee. Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review. Journal of Pediatric and Adolescent Gynecology, 2017; 30: pp. 203-08
- 18. K. Goodwin , N. Fleming and T. Dumont . Tubo-ovarian Abscess in Virginal Adolescent Females: A Case Report and Review of the Literature. Journal of Pediatric and Adolescent Gynecology, 2013; 26: pp. 99-102
- 19. K.A. Hartmann , S.J. Lerand , MPH and M.S. Jay . Tubo-ovarian Abscess in Virginal Adolescents: Exposure of the Underlying Etiology. Journal of Pediatric and Adolescent Gynecology, 2009; 22: pp. 13-16