Abstract
Acute kidney injury secondary to tubo-ovarian abscess: A case report
Highlights
Tubo-ovarian abscess (TOA) is a common complication of pelvic inflammatory disease which is an infection of upper genital tract [1]
Acute kidney injury (AKI) refers to an acute decline in renal excretory function over a period of hours or days leading to the accumulation of waste products, sometimes accompanied by oliguria, hyperkalaemia, hyperphosphataemia, and metabolic acidosis [3]
We report a case of acute kidney injury arising from a urethral obstruction secondary to TOA
Summary
Acute kidney injury secondary to tubo-ovarian abscess is rare. We present a case of acute kidney injury arising from urethral obstruction secondary to a tubo-ovarian abscess. A 49 year old woman with complaints of persistent fever and abdominal pain was transferred to our hospital. A transvaginal ultrasound revealed two large pelvic masses that were suspected of being bilateral tubo-ovarian abscesses. During broad spectrum parenteral antibiotic treatment, the patient reported oliguria. With no response to fluid resuscitation and renal replacement treatment, we performed a laparoscopic bilateral salpingo-oophorectomy to relieve the urethral obstruction. Surgical removal of the bilateral tubo-ovarian abscess was effective in this patient
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