title: Tubo-ovarian abscess in non sexually active adolescents.
abstract: A tubo-ovarian abscess is a rare presentation in non-sexually active adolescents; only 11 cases have been reported in the literature. Variable approaches for diagnosis and management are described. We present a 19-year-old, non-sexually active, medically free girl, who had an abdominopelvic mass with abdominal pain and vomiting followed by fever. She had a confusing presentation of malignancy versus tuberculosis, with the help of imaging, diagnosis and treatment with percutaneous drainage, conservative treatment was achieved. Diagnosis of a tubo-ovarian abscess is difficult in non-sexually active adolescents, a high clinical index of suspicion is important as misdiagnosis may lead to radical and aggressive management, conservative management is possible in many of these patients.
authors.affiliation: Department of Obstetrics and Gynecology, King Abdulaziz Medical City, Riyadh.
authors.forename: Jawaher A
authors.identifier: http://orcid.org/0000-0003-1464-6526
authors.initials: JA
authors.lastname: Alsahabi
authors.affiliation: Department of Obstetrics and Gynecology, King Khaled University Hospital, King Saud University, Riyadh.
authors.forename: Lateefa O
authors.initials: LO
authors.lastname: Aldakhil
authors.affiliation: Department of Gyneoncology, King Fahd Medical City, Women's Specialized Hospital, P.O. Box 59046, Riyadh 11525.
authors.forename: Abdulaziz S
authors.initials: AS
authors.lastname: Alobaid
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000178:diet therapy* / Q000188:drug therapy; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D010878:Piperacillin / Q000008:administration & dosage; D012746:Sexual Abstinence; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D010878:Piperacillin
keywords: adolescent; tubo-ovarian abscess