Wang Amanda, Hajmurad Sema, Khan Maryam, Villarreal Sarah
Department of OBGYN, University of Texas Medical Branch, Galveston, TX, USA.
Infect Dis Obstet Gynecol. 2021 Jan 18;2021:6668299. doi: 10.1155/2021/6668299. eCollection 2021.
Although ectopic pregnancy and pelvic inflammatory disease (PID) are separately commonly seen in practice, development of PID after surgical removal is rare. Here, we present the case of a 41-year-old female who was admitted for pelvic inflammatory disease diagnosed after laparoscopic salpingectomy for a ruptured ectopic pregnancy. Treatment required drainage of TOAs with interventional radiology and antibiotic treatment. This case report demonstrates how treatment of PID following ectopic pregnancy is complex and may require surgical- or radiology-guided drainage of infection in addition to common antibiotic treatment. Follow-up and duration of treatment are highlighted.
虽然异位妊娠和盆腔炎（PID）在实际中都较为常见，但手术切除后发生盆腔炎却很罕见。在此，我们报告一例41岁女性病例，该患者因异位妊娠破裂行腹腔镜输卵管切除术后被诊断为盆腔炎而入院。治疗需要介入放射学引导下对输卵管卵巢脓肿进行引流以及抗生素治疗。本病例报告展示了异位妊娠后盆腔炎的治疗是复杂的，除了常规抗生素治疗外，可能还需要手术或放射学引导下的感染引流。强调了随访及治疗持续时间。
