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jueves, 13 de agosto de 2015

Absceso tubo-ovárico

emDocs
emDocs - August 12, 2015 - By Al-Joburi D / Edited by Koyfman A and Alerhand S
"Tubo-ovarian abscess is an inflammatory mass involving the fallopian tube, ovary, or adjacent pelvic organs. When there is an agglutination of these structures, it is called a tubo-ovarian complex.1 While TOA was once more commonly associated with being life-threatening, advancements in antibiotics and surgical techniques have resulted in a near absent mortality.1However, failure to recognize it can result in irreversible tubal and ovarian damage, chronic pelvic pain, adhesion formation, ectopic pregnancy, and abscess rupture.
Summary
  • Failure to recognize TOA can result in irreversible tubal and ovarian damage
  • TOA can be seen in the pregnant, sexually inactive, and post-menopausal patient
  • Be on alert for malignancy in the post-menopausal patient
  • Think beyond PID as a sole risk factor: look for a history of infertility treatments and pelvic surgery
  • Clinical presentations vary
  • If ultrasound read doesn’t match the clinical scenario, get further imaging
  • Admit all patients to monitor for response to antibiotics"
http://www.emdocs.net/tubo-ovarian-abscess-pearls-pitfalls/