Abstract
Since tuboovarian abscess is almost always a complication of pelvic inflammatory disease, it is rarely observed in virgins. A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks. Her abdominopelvic computed tomography scan revealed bilateral multiseptated cystic masses with prominent air-fluid levels suggesting tuboovarian abscesses. The sigmoid colon was lying between two tuboovarian masses, and its borders could not be distinguished from the ovaries. The patient was presumed to have bilateral tuboovarian abscesses which developed as a complication of the sigmoid diverticulitis. She was administered intravenous antibiotic therapy followed by percutaneous drainage under ultrasonographic guidance. She was discharged on the twenty second day with prominent clinical and radiological improvement. Diverticulitis may be a reason for development of tuboovarian abscess in a virgin patient. Early recognition of the condition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery.
Highlights
A tuboovarian abscess reflects an agglutination of pelvic organs including the tube, ovary, and bowel forming a palpable complex
A case of tuboovarian abscess associated with diverticulitis and treated with percutaneous drainage in addition to antibiotic therapy in a young virgin patient with morbid obesity was reported
A 30-year-old virgin patient presented with pelvic pain, fever, and vaginal spotting for the previous three weeks
Summary
A tuboovarian abscess reflects an agglutination of pelvic organs including the tube, ovary, and bowel forming a palpable complex. It represents an end-stage process of acute pelvic inflammatory disease. Tuboovarian abscess has been reported to complicate 18–34% of patients with pelvic inflammatory disease [1, 2]. Risk factors for tuboovarian abscess are similar to that of pelvic inflammatory disease and include multiple sexual partners, intrauterine device, and low socioeconomic status [3]. Since the disease commonly is caused by the sexually transmitted microorganisms, intercourse with a partner having infection is the most important risk factor in tuboovarian abscess formation. Diverticulosis is a common condition in elderly population. A case of tuboovarian abscess associated with diverticulitis and treated with percutaneous drainage in addition to antibiotic therapy in a young virgin patient with morbid obesity was reported
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