title: A Tuboovarian Abscess Associated with a Ruptured Spleen.
abstract: We report the first case of a tuboovarian abscess complicated by a ruptured spleen. Our patient was a 27-year-old female with human immunodeficiency virus (HIV) who presented to the emergency department (ED) with complaints of urinary symptoms and diarrhea. After being diagnosed with a tuboovarian abscess (TOA), she received antibiotics and was admitted to the gynecology service. Shortly thereafter she developed hemorrhagic shock, necessitating a splenectomy and salpingooophorectomy from a ruptured spleen.
authors.affiliation: Department of Emergency Medicine, University Hospitals Case Medical Center and Case Western Reserve University, 11100 Euclid Avenue, B-517, Cleveland, OH 44139, USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Li
authors.affiliation: Department of Emergency Medicine, University Hospitals Case Medical Center and Case Western Reserve University, 11100 Euclid Avenue, B-517, Cleveland, OH 44139, USA.
authors.forename: Johnathan Michael
authors.initials: JM
authors.lastname: Sheele