Attiah Feryal O, AlKhateeb Nada A, Marzook Sara A
Medicine, King Abdulaziz University Hospital, Jeddah, SAU.
Urogynecology, King Abdulaziz University Hospital, Jeddah, SAU.
Cureus. 2022 Sep 26;14(9):e29631. doi: 10.7759/cureus.29631. eCollection 2022 Sep.
Tubo-ovarian abscess (TOA) is an inflammatory process involving the fallopian tubes and the ovary. It is one of the complications occurring in acute pelvic inflammatory disease (PID). Intrauterine device (IUD) insertion, history of a prior PID, reproductive age, and multiple sexual partners are the most common risk factors for TOA. The diagnosis of bilateral TOA is rare. Commonly isolated organisms from the abscess include ( , ( , and/or normal flora of the vagina and cervix. Treatment of the abscess should be started as soon as possible with broad-spectrum antibiotics as recommended by the Centers for Disease Control and Prevention (CDC) and drainage of the pelvic collection. Here, we present a complicated case in a middle-aged, sexually inactive woman with bilateral TOA colonized by . She is a known case of systemic lupus erythematosus (SLE) complicated by end-stage renal disease (ESRD), along with other co-morbidities. We summarize, in our case report, the experience of a successful treatment for this condition.
输卵管卵巢脓肿（TOA）是一种累及输卵管和卵巢的炎症过程。它是急性盆腔炎（PID）的并发症之一。宫内节育器（IUD）置入、既往PID病史、生育年龄和多个性伴侣是TOA最常见的危险因素。双侧TOA的诊断很少见。脓肿中常见分离出的微生物包括（此处原文缺失具体微生物名称）、（此处原文缺失具体微生物名称）和/或阴道及宫颈的正常菌群。应尽快按照美国疾病控制与预防中心（CDC）的建议使用广谱抗生素开始脓肿治疗，并对盆腔积液进行引流。在此，我们报告一例中年、无性活动的双侧TOA女性患者，其脓肿被（此处原文缺失具体微生物名称）定植。她是一名已知的系统性红斑狼疮（SLE）合并终末期肾病（ESRD）患者，还有其他合并症。在我们的病例报告中，我们总结了成功治疗该疾病的经验。
