Brucella pelvic tubo-ovarian abscess mimicking a pelvic malignancy.
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.
Seoud
Muhiedine A F
MA
Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. mike@aub.edu.lb
Kanj
Suha S
SS
Habli
Munira
M
Araj
George F
GF
Khalil
Ali M
AM
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
D000900:Anti-Bacterial Agents