title: Brucella pelvic tubo-ovarian abscess mimicking a pelvic malignancy.
abstract: A 57-y-old woman presented with recurrent abdominal and pelvic pain of 6 months' duration with low-grade fever. A computed tomographic scan indicated an ovarian tumor. Laparotomy revealed a pelvic abscess. Her symptoms resolved following surgery and antibiotic therapy. Pathology revealed an extensive inflammatory process. Tissue culture grew Brucella sp. The diagnosis and management of this previously undescribed pelvic tubo-ovarian abscess present a particular challenge.
authors.affiliation: Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. mike@aub.edu.lb
authors.forename: Muhiedine A F
authors.initials: MA
authors.lastname: Seoud
authors.forename: Suha S
authors.initials: SS
authors.lastname: Kanj
authors.forename: Munira
authors.initials: M
authors.lastname: Habli
authors.forename: George F
authors.initials: GF
authors.lastname: Araj
authors.forename: Ali M
authors.initials: AM
authors.lastname: Khalil
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis; D000038:Abscess / Q000175:diagnosis* / Q000628:therapy; D000900:Anti-Bacterial Agents; D002006:Brucellosis / Q000175:diagnosis*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D007861:Lebanon; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000628:therapy; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents