Hueston W J
St. Claire Medical Center, Morehead, KY.
J Ky Med Assoc. 1992 Mar;90(3):114-6.
Tubo-ovarian abscesses are uncommon complications from pelvic inflammatory disease. The theoretical basis for bacterial seeding of the Fallopian tube and ovary is an ascending infection through the uterus. This paper presents a case of a tubo-ovarian abscess in a woman 6 years after a hysterectomy. Although it is known that tubo-ovarian abscesses can occur in the presence of adjacent appendicitis or diverticulitis, neither of these was present in this patient. Therefore, the mechanism for infection in this patient was either a subacute condition preceding her hysterectomy or hematogenous seeding of her adnexal structures. Either of these mechanisms for infection challenge the currently held theories that have been put forth to describe the formation of tubo-ovarian abscesses.
输卵管卵巢脓肿是盆腔炎罕见的并发症。输卵管和卵巢细菌播散的理论基础是经子宫的上行感染。本文报道了1例子宫切除术后6年发生输卵管卵巢脓肿的病例。虽然已知输卵管卵巢脓肿可在合并相邻阑尾炎或憩室炎时发生，但该患者均无上述情况。因此，该患者的感染机制可能是子宫切除术前的亚急性疾病或其附件结构的血行播散。这些感染机制中的任何一种都对目前提出的用于描述输卵管卵巢脓肿形成的理论提出了挑战。
