Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report

Since tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilatera...

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Main Authors: Zafer Selçuk Tuncer, Gokhan Boyraz, Senem Özge Yücel, İlker Selçuk, Aslıhan Yazicioğlu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/413185
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author Zafer Selçuk Tuncer
Gokhan Boyraz
Senem Özge Yücel
İlker Selçuk
Aslıhan Yazicioğlu
author_facet Zafer Selçuk Tuncer
Gokhan Boyraz
Senem Özge Yücel
İlker Selçuk
Aslıhan Yazicioğlu
author_sort Zafer Selçuk Tuncer
collection DOAJ
description Since tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilateral multiseptated cystic masses with prominent air-fluid levels suggesting tuboovarian abscesses. The sigmoid colon was lying between two tuboovarian masses, and its borders could not be distinguished from the ovaries. The patient was presumed to have bilateral tuboovarian abscesses which developed as a complication of the sigmoid diverticulitis. She was administered intravenous antibiotic therapy followed by percutaneous drainage under ultrasonographic guidance. She was discharged on the twenty second day with prominent clinical and radiological improvement. Diverticulitis may be a reason for development of tuboovarian abscess in a virgin patient. Early recognition of the condition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery.
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id doaj-art-556116529d3b451f8cd77b14963b2fe7
institution Kabale University
issn 1687-9627
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language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-556116529d3b451f8cd77b14963b2fe72025-02-03T01:21:12ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/413185413185Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case ReportZafer Selçuk Tuncer0Gokhan Boyraz1Senem Özge Yücel2İlker Selçuk3Aslıhan Yazicioğlu4Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, TurkeyDepartment of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, 06100 Ankara, TurkeySince tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilateral multiseptated cystic masses with prominent air-fluid levels suggesting tuboovarian abscesses. The sigmoid colon was lying between two tuboovarian masses, and its borders could not be distinguished from the ovaries. The patient was presumed to have bilateral tuboovarian abscesses which developed as a complication of the sigmoid diverticulitis. She was administered intravenous antibiotic therapy followed by percutaneous drainage under ultrasonographic guidance. She was discharged on the twenty second day with prominent clinical and radiological improvement. Diverticulitis may be a reason for development of tuboovarian abscess in a virgin patient. Early recognition of the condition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery.http://dx.doi.org/10.1155/2012/413185
spellingShingle Zafer Selçuk Tuncer
Gokhan Boyraz
Senem Özge Yücel
İlker Selçuk
Aslıhan Yazicioğlu
Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
Case Reports in Medicine
title Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
title_full Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
title_fullStr Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
title_full_unstemmed Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
title_short Tuboovarian Abscess due to Colonic Diverticulitis in a Virgin Patient with Morbid Obesity: A Case Report
title_sort tuboovarian abscess due to colonic diverticulitis in a virgin patient with morbid obesity a case report
url http://dx.doi.org/10.1155/2012/413185
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AT gokhanboyraz tuboovarianabscessduetocolonicdiverticulitisinavirginpatientwithmorbidobesityacasereport
AT senemozgeyucel tuboovarianabscessduetocolonicdiverticulitisinavirginpatientwithmorbidobesityacasereport
AT ilkerselcuk tuboovarianabscessduetocolonicdiverticulitisinavirginpatientwithmorbidobesityacasereport
AT aslıhanyazicioglu tuboovarianabscessduetocolonicdiverticulitisinavirginpatientwithmorbidobesityacasereport