Obstetrics and gynecology · 2011
Pelvic Salmonella infection masquerading as gynecologic malignancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kudesia Rashmi, Gupta Divya
Аннотация
BACKGROUND: Salmonella species tubo-ovarian abscess is a rare clinical occurrence. Salmonella organisms are gastrointestinal pathogens that are not thought to create disease with sufficient spread or severity to result in intraperitoneal extension.
CASE: A 32-year-old nulligravid woman presented with abdominal pain, fever, and bloody diarrhea. On imaging, she was found to have complex pelvic masses highly suspicious for neoplasm. Surgical exploration revealed tubo-ovarian abscesses and peritonitis. The ovarian tissue culture revealed a Salmonella infection. The final pathology showed bilateral ovarian abscesses and an endometriotic cyst in the right ovary. After a 6-week course of antibiotics, tissue cultures were negative for Salmonella infection, and the patient has remained asymptomatic with normal menstrual cycles.
CONCLUSION: Preoperative evaluation of a pelvic mass in a reproductive-aged woman continues to be challenging, with a broad differential diagnosis. Although obstetrician-gynecologists rely on radiographic imaging for diagnosis, the results can be misleading.
CASE: A 32-year-old nulligravid woman presented with abdominal pain, fever, and bloody diarrhea. On imaging, she was found to have complex pelvic masses highly suspicious for neoplasm. Surgical exploration revealed tubo-ovarian abscesses and peritonitis. The ovarian tissue culture revealed a Salmonella infection. The final pathology showed bilateral ovarian abscesses and an endometriotic cyst in the right ovary. After a 6-week course of antibiotics, tissue cultures were negative for Salmonella infection, and the patient has remained asymptomatic with normal menstrual cycles.
CONCLUSION: Preoperative evaluation of a pelvic mass in a reproductive-aged woman continues to be challenging, with a broad differential diagnosis. Although obstetrician-gynecologists rely on radiographic imaging for diagnosis, the results can be misleading.