Tubo-ovarian abscess in the 39th week of pregnancy (case report)

Česká verzia

Authors: A. Piegzová ¹; V. Unzeitig ²
Authors place of work: Gynekologicko-porodnické oddělení, Nemocnice s poliklinikou, Karviná Ráj, přednosta MUDr. P. Fiala ¹; Gynekologicko-porodnická klinika OU a FN, Ostrava, přednosta doc. MUDr. O. Šimetka, Ph. D., MBA ²
Published in the journal: Ceska Gynekol 2017; 82(4): 322-326

Summary

Objective:
A case of tubo-ovarian abscess in a patient with term pregnancy.

Design:
Case report.

Setting:
Department of Obstetrics and Gynaecology, Nemocnice s poliklinikou Karviná Ráj.

Case report:
I hereby report a case of a patient in her 39th week of pregnancy hospitalized for abdominal pain and vomiting. Due to unclear aetiology and growing dynamics of inflammatory markers the ending of the pregnancy by induction of labour was indicated. Postpartum examination performed through computed tomography determines the cause of current problems. Conservative therapy of the diagnosed adnexal abscess, however, is insufficient. In the fourth postpartum day, the patient is indicated for surgical intervention and unilateral salpingo oophorectomy is performed.

Conclusion:
Even though rare during this period, some forms of clinical pelvic inflammatory disorders during pregnancy have to be taken into consideration. Timely and correct diagnosis combined with adequate therapy is of vital importance for reduction of perinatal and maternal mortality and morbidity.

Keywords:
pelvic inflammatory disease, tubo-ovarian abscess, term pregnancy

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