Ovarian abscess arising within an endometrioma.
Ovarian abscess is a rare gynecologic entity; only 120 cases have been reported in the world literature. In contrast to the more commonly encountered tubo-ovarian abscess, tubal involvement is absent in the ovarian abscess. This report describes a case of an ovarian abscess arising de novo within an endometrioma. The woman presented with a 20-cm pelvic-abdominal mass with paracaval adenopathy and bilateral ureteral obstruction. Treatment with broad-spectrum antibiotics was unsuccessful. The surgical specimen revealed endometrial glands, stroma, hemosiderin-laden macrophages, and evidence of abscess formation.
Department of Obstetrics and Gynecology, University of Tennessee, Memphis.
G H
GH
Lipscomb
F W
FW
Ling
G J
GJ
Photopulos
D000038:Abscess / Q000150:complications / Q000473:pathology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004715:Endometriosis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010049:Ovarian Diseases / Q000150:complications / Q000473:pathology* / Q000628:therapy; D010052:Ovariectomy; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology
D000900:Anti-Bacterial Agents