title: Chronic tubo-ovarian abscess complicated by hepatic portal venous gas.
abstract: 44-year-old female with massive chronic tubo-ovarian abscess complicated by hepatic portal venous gas (HPVG). She presented to the emergency department of our hospital with a diffusely tender abdomen and 2 weeks history of frequent non-bloody loose stools. She had a relevant past medical history of poorly controlled type 1 diabetes mellitus and hypertension. Abdominal computerized tomography revealed massive right abdomino-pelvic mass measuring 17.6 × 12.1 × 20 cm and diffuse HPVG. Patient underwent exploratory laparotomy, salpingo-oophorectomy, peritoneal lavage with antibiotics and treatment for septic shock. No similar case known to us has been reported in the literature previously.
authors.affiliation: Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA sonyeabor@yahoo.com.
authors.forename: Sunny
authors.initials: S
authors.lastname: Onyeabor
authors.affiliation: General Surgery Residency Program, Morehouse School of Medicine, Atlanta, GA, USA.
authors.forename: Frederick
authors.initials: F
authors.lastname: Cason