[Paravaginal abscess in pregnancy].
Paravaginal abscess in pregnancy. We report the diagnosis and treatment of an infected Gartner's duct cyst during pregnancy. The patient presented with lower abdominal pain, fever (38.5 degrees C) and an elevated C-reactive Protein level. Pelvic examination revealed a painful paravaginal mass. Sonography was not able to detect the cranial border of the tumor. Magnetic resonance imaging (MRI) revealed fluid accumulation laterodorsal to the vagina without evidence of a connection with the retroperitoneal space. An infected Gartner's duct cyst with consecutive abscess formation along the mesonephric duct system, was diagnosed. Following transvaginal drainage, the remainder of the pregnancy was uneventful and the patient was delivered vaginally at 40 + 5 weeks without complications. - The rare clinical finding of a paravaginal abscess in pregnancy was treated without termination of the pregnancy. Preoperative planning of the surgical approach using MRI can be easier for pelvic processes extending out of the pelvis than using ultrasound and is less painful for the patient.
Hasbargen
U
U
Klinikum der Universität München, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe - Grosshadern. hasbargen@gyn.uni-muenchen.de
Hillemanns
P
P
Scheidler
J
J
Kimmig
R
R
Hepp
H
H
D018784:Abdominal Abscess / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D003127:Colposcopy; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004322:Drainage; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000601:surgery; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000601:surgery; D014928:Wolffian Ducts / Q000601:surgery