Abstract
BackgroundThe aim of our present study was to investigate the clinical characteristics, treatment status and complications in women with endometriosis (EM) and tube ovarian abscess (TOA) to determine the possible association between TOA and EM.MethodsMedical records were used to analyze the clinical characteristics, treatment and complications. Twenty women who were diagnosed with TOA with EM were compared with 93 women diagnosed as having TOA without EM between January, 2008 and December, 2018.ResultsIn this study, TOA patients with EM were significantly more likely to have a lower age range (20–39 years) than the non-EM group [11/20 (55.0%) vs 27/93 (29.0%)]. In addition, TOA patients with EM were associated with a significantly lower rate of parity [11/20 (55.0%) vs 75/93 (80.6%)], higher rates of infertility [8/20(40%) vs 0/93(0%)] and a significantly lower incidence of elevated blood platelet counts [5/20 (25%) vs 43/93 (46.2%)]. Furthermore, women with EM had greater blood loss (347 ± 445.77 vs 204.67 ± 289.46) and an increased complication rate [3/20(15%) vs 0/93(0%)]. Among the 3 patients who had complications in the EM group, 2 patients had septic shock and 1 patient had intestinal obstruction. And 1 case who had septic shock followed by IVF treatment. There was no significance difference on other factors.ConclusionsThe present study indicated that EM did not increase the difficulty and time of treatment in patients with TOA, but increased bleeding during surgery and serious complications. It is suggested that doctors should pay more attention to postoperative treatment and nursing in women with TOA and EM, especially those who have a history of recent infertility treatment and related procedures.
Highlights
The aim of our present study was to investigate the clinical characteristics, treatment status and com‐ plications in women with endometriosis (EM) and tube ovarian abscess (TOA) to determine the possible association between TOA and EM
Patients with EM and infertility are usually treated with artificial assisted reproductive technology (ART), which may increase the risk of TOA and make it difficult to treat [7]
EM was evaluated according to the revised American Society for Reproductive Medicine classification [12].The type of EM combined with TOA mainly included 17 ovarian EM and 3 peritoneal EM
Summary
The aim of our present study was to investigate the clinical characteristics, treatment status and com‐ plications in women with endometriosis (EM) and tube ovarian abscess (TOA) to determine the possible association between TOA and EM. Tube ovarian abscess (TOA) is a complication of pelvic inflammatory disease (PID) that occasionally involves. TOA is still unclear, approximately one-third of patients with pelvic inflammatory disease have TOA [3]. Endometriosis (EM) is a chronic inflammatory estrogen-dependent disease and an immunologically aberrant condition that is prevalent in women of reproductive age. Patients with EM and infertility are usually treated with artificial assisted reproductive technology (ART), which may increase the risk of TOA and make it difficult to treat [7]. The risk of TOA in EM patients may be increased [6, 7]. The risk of TOA in EM still remains unclear
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