Abstract:
A tubo-ovarian abscess is a potential life-threatening condition. In postmenopausal women, it is rarely seen and it has fewer typical symptoms, making it difficult to diagnose. This report concerns a postmenopausal patient who was admitted with general health decline, weight loss and ascites. At first, a malignancy of the right ovary was suspected because of the sonographic and laboratory findings. On diagnostic laparoscopy, the diagnosis of pelvic inflammatory disease was made, most likely caused by a Mirena intrauterine device that had been in place for 20 years. In a postmenopausal woman a tubo-ovarian abscess should be included in differential diagnoses especially if she has an intrauterine device. Conservative treatment with antibiotics is preferred. If surgery is required, diagnostic laparoscopy is advised.
摘要:
输卵管卵巢脓肿是一种潜在的危及生命的疾病。在绝经后的女性中,很少见,典型症状也较少,很难诊断。本报告涉及一名因总体健康状况下降而入院的绝经后患者,减肥和腹水。起初,由于超声和实验室检查结果,我们怀疑右侧卵巢为恶性肿瘤.在诊断腹腔镜检查中,诊断为盆腔炎,最有可能是由已经放置了20年的宫内节育器引起的。在绝经后妇女中,应将输卵管卵巢脓肿包括在鉴别诊断中,尤其是如果她有宫内节育器。使用抗生素的保守治疗是优选的。如果需要手术,建议进行诊断性腹腔镜检查。