Abstract
A pelvic abscess is a localized collection of a large number of organisms, inflammatory exudate, and necrotic debris often separated from surrounding tissue by a fibrous pseudocapsule. A tubo-ovarian complex is a tubo-ovarian abscess (TOA) that lacks a classic pseudocapsule and is made up of the agglutination of tube and ovary to adjacent pelvic and abdominal structures following reaction to purulent exudate from the inflamed tube. A true pelvic abscess with a classic pseudocapsule can occur in the ovary and after rupture of a diverticulum. Whatever the terminology, purulent material exists in a collection within the pelvis.
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