Abstract

Chylothorax is a rare condition in children with various traumatic and non traumatic etiologies. It is very important to determine the etiology for the management. Herein, we report a 16 year-old boy with a history of monosomy 7 positive refractory AML, stem cell transplantation, gastrointestinal graft versus host disease, invasive aspergillosis and bilateral chylothorax with multiple suspected etiologies.

Highlights

  • Tuboovarian abscesses (TOAs) are considered to be a problem during a woman’s reproductive ages, and the diagnosis appears to be infrequent in postmenopausal women

  • It has been reported that 34% of patients hospitalized with a diagnosis of acute genital tract infections in reproductive ages develop TOA

  • In this case report we aimed to present a case of serous ovarian carcinoma presenting with postmenopousal tubo-ovarian abscess

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Summary

Introduction

Tuboovarian abscesses (TOAs) are considered to be a problem during a woman’s reproductive ages, and the diagnosis appears to be infrequent in postmenopausal women. TOA, postmenapozal hastalarda oldukça nadir görülmekle birlikte, eşlik eden jinekolojik malignensi oranı %47 olarak bildirilmiştir (5). Yaklaşık 13 yıldır menopozda olan 63 yaşındaki hasta, 3 aydır devam eden kasık ağrısı şikâyeti ile hastanemiz jinekoloji polikliniğine başvurdu. Endometrial örnekleme sonucunda takibe uygun materyal izlenmemesi ve uterin kavitede sıvı koleksiyonunun ve ultrasonografide kitlenin sebat etmesi üzerine hasta hospitalize edilerek intravenöz gentamisin 2 mg/kg yükleme dozu takiben, 1,5 mg/kg gentamisin ve 900 mg klindamisin 8 saatte bir olacak şekilde alması planlandı.

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