Unilateral tubo-ovarian abscess and intrauterine contraceptive devices.
The association of unilateral tubo-ovarian abscess and the presence or use of an intrauterine contraceptive device (IUD) appears to be a definite clinical entity. Four cases of unilateral tubo-ovarian abscess in patients using the IUD are presented. Three patients had a Dalkon Shield IUD and one had a Lippes Loop. Two patients had unilateral salpingo-oophorectomy while the other 2 had total abdominal hysterectomy and bilateral salpingo-oophorectomy. The differential diagnosis, possible etiology, route and mode of infection, and management are discussed.
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D005187:Fallopian Tubes; D005260:Female; D005831:Genital Diseases, Female / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000209:etiology*
D002981:Clindamycin; D000667:Ampicillin