Tuncer Zafer Selçuk, Boyraz Gokhan, Yücel Senem Özge, Selçuk Ilker, Yazicioğlu Aslıhan
Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, Turkey.
Case Rep Med. 2012;2012:413185. doi: 10.1155/2012/413185. Epub 2012 Aug 16.
Since tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilateral multiseptated cystic masses with prominent air-fluid levels suggesting tuboovarian abscesses. The sigmoid colon was lying between two tuboovarian masses, and its borders could not be distinguished from the ovaries. The patient was presumed to have bilateral tuboovarian abscesses which developed as a complication of the sigmoid diverticulitis. She was administered intravenous antibiotic therapy followed by percutaneous drainage under ultrasonographic guidance. She was discharged on the twenty second day with prominent clinical and radiological improvement. Diverticulitis may be a reason for development of tuboovarian abscess in a virgin patient. Early recognition of the condition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery.
由于输卵管卵巢脓肿几乎总是盆腔炎的并发症，所以在处女中很少见。一名30岁的处女患者在过去三周出现盆腔疼痛、发热和阴道点滴出血。她的腹部盆腔计算机断层扫描显示双侧多房囊性肿块，有明显的气液平面，提示输卵管卵巢脓肿。乙状结肠位于两个输卵管卵巢肿块之间，其边界无法与卵巢区分。该患者被推测患有双侧输卵管卵巢脓肿，这是乙状结肠憩室炎的并发症。她接受了静脉抗生素治疗，随后在超声引导下进行经皮引流。她在第22天出院，临床和影像学有明显改善。憩室炎可能是处女患者发生输卵管卵巢脓肿的一个原因。除抗生素治疗外，早期通过经皮引流识别病情有助于实现无并发症的康复。
