title: Pelvic Salmonella infection masquerading as gynecologic malignancy.
abstract: BACKGROUND
  Salmonella species tubo-ovarian abscess is a rare clinical occurrence. Salmonella organisms are gastrointestinal pathogens that are not thought to create disease with sufficient spread or severity to result in intraperitoneal extension.
  
  
  METHODS
  A 32-year-old nulligravid woman presented with abdominal pain, fever, and bloody diarrhea. On imaging, she was found to have complex pelvic masses highly suspicious for neoplasm. Surgical exploration revealed tubo-ovarian abscesses and peritonitis. The ovarian tissue culture revealed a Salmonella infection. The final pathology showed bilateral ovarian abscesses and an endometriotic cyst in the right ovary. After a 6-week course of antibiotics, tissue cultures were negative for Salmonella infection, and the patient has remained asymptomatic with normal menstrual cycles.
  
  
  CONCLUSIONS
  Preoperative evaluation of a pelvic mass in a reproductive-aged woman continues to be challenging, with a broad differential diagnosis. Although obstetrician-gynecologists rely on radiographic imaging for diagnosis, the results can be misleading.
authors.affiliation: From the Department of Obstetrics and Gynecology, New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York.
authors.forename: Rashmi
authors.initials: R
authors.lastname: Kudesia
authors.forename: Divya
authors.initials: D
authors.lastname: Gupta
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D015746:Abdominal Pain / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003967:Diarrhea / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000188:drug therapy; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011860:Radiography, Abdominal; D012480:Salmonella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents