Kim Young Ah, Chun Kyoung-Chul, Koh Jae Whoan, Song Hyoun Suk, Kim Hee-Sun
Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.
Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, South Korea.
J Obstet Gynaecol Res. 2021 Mar;47(3):1199-1203. doi: 10.1111/jog.14691. Epub 2021 Jan 31.
We present the case of a 26-year-old multiparous woman who experienced rupture of a tubo-ovarian abscess during the second trimester of pregnancy. She presented with epigastric and right lower quadrant pain at 12 + 0 weeks' gestation. There were no other specific findings on the magnetic resonance imaging images. We recommended hospitalization to observe the changes in pain, but she refused confinement. About 3 weeks later, she revisited our emergency room at 15 + 4 weeks' gestation. She complained of worsening abdominal pain with fever. She underwent right salpingo-oophorectomy and appendectomy due to uncontrollable, severe abdominal pain without any obstetric abnormal condition. There was a rupture site in the right adnexa, which was covered with pus. The rupture of tubo-ovarian abscess during pregnancy is very rare. Therefore, obstetricians should carefully monitor the adnexal masses observed during pregnancy, which should be treated with caution, whether or not the patient is symptomatic.
我们报告一例26岁经产妇，在妊娠中期发生输卵管卵巢脓肿破裂。她在妊娠12⁺⁰周时出现上腹部和右下腹疼痛。磁共振成像检查未发现其他特异性表现。我们建议住院观察疼痛变化，但她拒绝住院。约3周后，她在妊娠15⁺⁴周时再次来到我们的急诊室。她主诉腹痛加重伴发热。由于腹痛剧烈且无法控制，且无任何产科异常情况，她接受了右侧输卵管卵巢切除术和阑尾切除术。右侧附件有一个破裂口，被脓液覆盖。妊娠期输卵管卵巢脓肿破裂非常罕见。因此，产科医生应仔细监测孕期发现的附件包块，无论患者有无症状，均应谨慎处理。
