Postmenopausal tuboovarian abscess.
Twelve postmenopausal women with tuboovarian abscess were manages at the Los Angeles County-University of Southern California Medical Center in the period 1970 to 1975. Post-menopausal uterine bleeding and a palpable pelvic mass were the most common findings. On admission however, presenting signs and symptoms were generally not helpful in making a correct descriptive diagnosis. Four of the patients had a ruptured tuboovarian abscess at the time of surgery, and additional pathologic findings were common. The total hospital course was prolonged, with significant postoperative complications in 7 patients. Three patients developed gastrointestinal fistulas and 5 patients required further surgery. Possible etiologies of these adnexal abscesses and suggested patient management including appropriate antibiotic therapy is discussed.
D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006760:Hospitalization; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D009869:Oophoritis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications; D012488:Salpingitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery