经阴道超声引导下卵巢子宫内膜瘤穿刺抽吸并注入纯乙醇固定后，由大消化链球菌引起的卵巢脓肿。
Ovarian abscess caused by Peptostreptococcus magnus following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol.
作者信息
Mikamo H, Kawazoe K, Sato Y, Itoh M, Tamaya T
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Gifu University, Japan.
出版信息
Infect Dis Obstet Gynecol. 1998;6(2):66-8. doi: 10.1002/(SICI)1098-0997(1998)6:2<66::AID-IDOG7>3.0.CO;2-5.
BACKGROUND
Transvaginal ultrasound-guided aspiration of ovarian endometrioma has been applied and emphasized as a safe and simple procedure.
CASE
Two 27-year-old infertile women, both gravida 0, para 0, underwent medical follow-up examinations for cases of ovarian endometrioma. Both had undergone transvaginal ultrasound-guided aspiration of ovarian endometrioma. Because both were continuously febrile and had abdominal pain and cysts with tenderness in spite of antibiotic therapies, both underwent laparotomies for treatment. In both cases, enucleation of the ovarian abscess revealed purulent and malodorous fluid that demonstrated Peptostreptococcus magnus in culture.
CONCLUSION
We theorize that following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol, anaerobic infection by P. magnus occurred, and a cyst formed in the abscess.
背景
经阴道超声引导下卵巢子宫内膜异位囊肿抽吸术已被应用并强调为一种安全且简单的手术。
病例
两名27岁的不孕女性，均为孕0产0，因卵巢子宫内膜异位囊肿接受医学随访检查。两人均接受了经阴道超声引导下卵巢子宫内膜异位囊肿抽吸术。尽管使用了抗生素治疗，但两人仍持续发热、腹痛且囊肿有压痛，因此均接受了剖腹手术治疗。在这两个病例中，卵巢脓肿摘除术后发现有脓性且恶臭的液体，培养显示有大消化链球菌。
结论
我们推测，在经阴道超声引导下对卵巢子宫内膜异位囊肿进行抽吸并用纯乙醇固定后，发生了大消化链球菌引起的厌氧菌感染，并在脓肿中形成了囊肿。
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