PDF(Pubmed)
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。
