Gorisek Nina Miksić, Oresković Slavko, But Igor
Maribor University Medical Center, Department of Infectious Diseases, Maribor, Slovenia.
Coll Antropol. 2011 Mar;35(1):223-5.
Ovarian abscess in young sexually non-active girls can represent a diagnostic challenge. 15-years old girl was admitted to the Clinic for Gynaecology and Obstetrics under the suspicion of torsion of an ovarian cyst. Her clinical status deteriorated after the admission with development of acute abdomen. Laparoscopic exploration was performed and unilateral ovarian abscess was found without involvement of other pelvic structures. The surgical procedure was minimal invasive for a young girl and Salmonella staleyville was isolated from pus. Solitary ovarian abscess can be of hematogenous origin and the causative pathogens are different from pathogens usually involved in pelvic inflammatory disease. To avoid later fertility problems it is of great importance to treat infections in pelvic region correctly according to the isolated microorganism and that surgery is the least invasive.
年轻的无性活跃的女孩发生卵巢脓肿可能是一个诊断难题。一名15岁女孩因怀疑卵巢囊肿扭转而入住妇产科诊所。入院后,她的临床状况因急腹症的出现而恶化。进行了腹腔镜探查,发现单侧卵巢脓肿,未累及其他盆腔结构。该手术对年轻女孩来说创伤最小,且从脓液中分离出了斯泰利维尔沙门氏菌。孤立性卵巢脓肿可能源于血行感染,其致病病原体与通常累及盆腔炎的病原体不同。为避免日后出现生育问题,根据分离出的微生物正确治疗盆腔感染且手术创伤最小至关重要。