Case reports in obstetrics and gynecology · 2026
Bilateral Tubo-Ovarian Abscess as an Unusual Trigger of Diabetic Ketoacidosis in a Woman With Type 2 Diabetes: A Rare Case Report.
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Abdallah Hala O, Abufara Bara J, Odeh Hobab J, Nafah Ansam, Shihab Reem, Shroof Mua Weah
Аннотация
BACKGROUND: Tubo-ovarian abscess is a serious complication of pelvic inflammatory disease that often requires surgical management. Diabetic ketoacidosis is a life-threatening metabolic emergency most seen in Type 1 diabetes but can rarely occur in Type 2 diabetes. The simultaneous occurrence of TOA and DKA is extremely rare, highlighting a clinically important association.
CASE PRESENTATION: We report a 37-year-old woman with poorly controlled Type 2 diabetes mellitus who presented with severe abdominal pain, fever, and metabolic decompensation diagnosed as DKA. On workup, CT scan revealed bilateral tubo-ovarian abscesses. She was admitted to the intensive care unit and managed appropriately. Persistent fever with elevated CRP prompted laparoscopic drainage of both abscesses, resulting in clinical improvement.
CONCLUSION: Bilateral tubo-ovarian abscess can precipitate diabetic ketoacidosis in women with Type 2 diabetes mellitus. Recognizing gynecologic sepsis as a potential precipitant is crucial for timely management.
CASE PRESENTATION: We report a 37-year-old woman with poorly controlled Type 2 diabetes mellitus who presented with severe abdominal pain, fever, and metabolic decompensation diagnosed as DKA. On workup, CT scan revealed bilateral tubo-ovarian abscesses. She was admitted to the intensive care unit and managed appropriately. Persistent fever with elevated CRP prompted laparoscopic drainage of both abscesses, resulting in clinical improvement.
CONCLUSION: Bilateral tubo-ovarian abscess can precipitate diabetic ketoacidosis in women with Type 2 diabetes mellitus. Recognizing gynecologic sepsis as a potential precipitant is crucial for timely management.