title: Experience of tubo-ovarian abscess in western Turkey.
abstract: OBJECTIVE
  To investigate the clinical and laboratory parameters, treatments, and complications of patient with tubo-ovarian abscess (TOA).
  
  
  METHODS
  Data for 296 patients diagnosed with TOA (clinically and sonographically) between January 2005 and December 2012 were retrospectively reviewed at 3 tertiary referral hospitals in Turkey. Patients were compared on the basis of TOA size, demographic characteristics, clinical and sonographic presentation, and laboratory findings.
  
  
  RESULTS
  Seventy-six patients (25.7%) underwent surgery because antibiotic treatment was unsuccessful. The mean abscess size was larger and the mean C-reactive protein (CRP) level and the erythrocyte sedimentation rate (ESR) were higher among patients who required surgery. The ESR had a diagnostic value of 83.6%, and a specificity and sensitivity of 73.7% and 82.7%, respectively, for the need for surgical intervention, based on a cut-off value of 63.0mm/hour. The CRP level had a diagnostic value of 80.4%, a specificity of 82.3%, and a sensitivity of 65.8% based on a cut-off value of 21.0mg/L.
  
  
  CONCLUSIONS
  The combined use of the sonographic TOA diameter and laboratory parameters (ESR and CRP level) can aid clinical treatment decisions and improve the prediction of the outcome of medical TOA treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Training and Research Hospital, Istanbul, Turkey. Electronic address: maidenkemal@yahoo.com.
authors.forename: Kemal
authors.initials: K
authors.lastname: Güngördük
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Training and Research Hospital, Istanbul, Turkey.
authors.forename: Esra
authors.initials: E
authors.lastname: Guzel
authors.affiliation: Department of Obstetrics and Gynecology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Asicioğlu
authors.affiliation: Department of Obstetrics and Gynecology, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Yildirim
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Training and Research Hospital, Istanbul, Turkey.
authors.forename: Guler
authors.initials: G
authors.lastname: Ataser
authors.affiliation: Department of Obstetrics and Gynecology, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
authors.forename: Cemal
authors.initials: C
authors.lastname: Ark
authors.affiliation: Department of Obstetrics and Gynecology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Sıdıka S
authors.initials: SS
authors.lastname: Gulova
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Training and Research Hospital, Istanbul, Turkey.
authors.forename: Cihangir
authors.initials: C
authors.lastname: Uzuncakmak
mesh_terms: D000038:Abscess / Q000453:epidemiology / Q000473:pathology / Q000628:therapy*; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D005184:Fallopian Tube Diseases / Q000453:epidemiology / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000453:epidemiology / Q000473:pathology / Q000628:therapy*; D012372:ROC Curve; D012189:Retrospective Studies; D017211:Treatment Failure; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000890:Anti-Infective Agents
keywords: Abscess size; C-reactive protein; Erythrocyte sedimentation rate; Tubo-ovarian abscess