Tubo-ovarian abscess with sepsis in a nonagenarian woman: a case report and literature review

Abstract Background A complete infectious focus survey relies on a thorough physical examination as well as a pelvic examination. Tubo-ovarian abscess, though less likely to occur in senior women, may become a life-threatening disease requiring emergent surgery. Hence, clinical awareness and aggress...

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Main Authors: Kuan-Yi Chen (Author), Jen-Yu Tseng (Author), Chih-Yu Yang (Author)
Format: Book
Published: BMC, 2019-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Kuan-Yi Chen  |e author 
700 1 0 |a Jen-Yu Tseng  |e author 
700 1 0 |a Chih-Yu Yang  |e author 
245 0 0 |a Tubo-ovarian abscess with sepsis in a nonagenarian woman: a case report and literature review 
260 |b BMC,   |c 2019-06-01T00:00:00Z. 
500 |a 10.1186/s12905-019-0782-6 
500 |a 1472-6874 
520 |a Abstract Background A complete infectious focus survey relies on a thorough physical examination as well as a pelvic examination. Tubo-ovarian abscess, though less likely to occur in senior women, may become a life-threatening disease requiring emergent surgery. Hence, clinical awareness and aggressive management are warranted to avoid delayed diagnosis and subsequent complications. Case presentation We report a post-menopausal woman presented with sepsis of unknown origin, which turned out to be a huge tubo-ovarian abscess. Although tubo-ovarian abscess mostly occurs in women of fertile age, it is likely that the immune status of our post-menopausal patient was compromised because of old age and uremia. Moreover, due to underlying dementia, she could not express her discomfort in the early stage. Her sepsis resolved after a unilateral salpingo-oophorectomy surgery and antibiotic treatment. It is crucial to exclude pelvic inflammatory disease (PID) if no specific source of infection can be identified. Conclusions Rupture of the tubo-ovarian abscess is a condition of high mortality rate. Although tubo-ovarian abscess is more likely to develop in patients aged 15-25 years old, the tubo-ovarian abscess should be listed as a differential diagnosis in all post-menopausal women, especially those who are immunocompromised or with a palpable pelvic mass, to enable timely management and better prognosis. 
546 |a EN 
690 |a Fever of unknown origin 
690 |a Tubo-ovarian abscess 
690 |a Post-menopausal 
690 |a Nonagenarian 
690 |a Chronic kidney disease 
690 |a Case report 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Women's Health, Vol 19, Iss 1, Pp 1-4 (2019) 
787 0 |n http://link.springer.com/article/10.1186/s12905-019-0782-6 
787 0 |n https://doaj.org/toc/1472-6874 
856 4 1 |u https://doaj.org/article/74822c9b0d3049c9ab3051f40a66c110  |z Connect to this object online.