Volume 9, Issue 3 (2024)
SJMR 2024, 9(3): 183-187 |
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Arab M, Nouri N, Bazzazi S, Amjadi N, Ghavami B, Raoufi M. Bladder Perforation as a Complication of Tubo-ovarian Abscess: A Case Report and Review of the Literature. SJMR 2024; 9 (3) : 7
URL: http://saremjrm.com/article-1-315-en.html
URL: http://saremjrm.com/article-1-315-en.html
Maliheh Arab *1 
, Nasim Nouri2 , Saba Bazzazi3 , Nooshin Amjadi4 , Behnaz Ghavami5 , Masoomeh Raoufi6
, Nasim Nouri2 , Saba Bazzazi3 , Nooshin Amjadi4 , Behnaz Ghavami5 , Masoomeh Raoufi6
1- Professor of Gyneco-oncology, Shahid Beheshti University of Medical Sciences and Health Services , drmarab@sbmu.ac.ir
2- Medical Student, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Assistant of OB & Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Assistant Professor of Maternal Fetal Medicine, Preventive Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Obstetrics and Gynecology Department, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran
6- Assistant Professor of Radiology, Department of Radiology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences
2- Medical Student, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Assistant of OB & Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Assistant Professor of Maternal Fetal Medicine, Preventive Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Obstetrics and Gynecology Department, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran
6- Assistant Professor of Radiology, Department of Radiology, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences
Abstract: (804 Views)
Tubo-ovarian abscess (TOA) can be considered one of the important outcomes of pelvic inflammatory disease (PID) and it usually occurs in women of reproductive age. TOA is mostly an encapsulated infectious inflammatory process that most frequently involves the ovary and the fallopian tube. TOA can cause various complications and may create a condition that is life-threatening for patients and eventually lead to surgery.
Case Presentation
A 47-year-old female patient (G2P2L2) was referred to a gynecological center due to generalized abdominal pain. CT The scan showed a solid cystic mass in the midline of the pelvis, and in the MRI, a tubular lesion was reported in favor of a tubo-ovarian abscess. the patient was treated with antibiotics and a drain under ultrasound guidance was placed to drain the abscess. Purulent secretions were coming out of the drain site, which gradually decreased in volume and suddenly increased and had a serous appearance. the patient's Foley catheter was removed on the 5th day of drain placement and with the reduction of secretions. Urological consultation was recommended to do IVP and the damage to the bladder wall was confirmed. Due to the damage to the bladder, the patient was a candidate for cystoscopy. According to the operation's description, the catheter's tip inside the bladder was visible. For patients who have an abscess and are drained by a catheter, the existence of a Foley catheter is necessary to make the bladder empty when inserting or relocating the catheter or until the time the catheter is removed.
Case Presentation
A 47-year-old female patient (G2P2L2) was referred to a gynecological center due to generalized abdominal pain. CT The scan showed a solid cystic mass in the midline of the pelvis, and in the MRI, a tubular lesion was reported in favor of a tubo-ovarian abscess. the patient was treated with antibiotics and a drain under ultrasound guidance was placed to drain the abscess. Purulent secretions were coming out of the drain site, which gradually decreased in volume and suddenly increased and had a serous appearance. the patient's Foley catheter was removed on the 5th day of drain placement and with the reduction of secretions. Urological consultation was recommended to do IVP and the damage to the bladder wall was confirmed. Due to the damage to the bladder, the patient was a candidate for cystoscopy. According to the operation's description, the catheter's tip inside the bladder was visible. For patients who have an abscess and are drained by a catheter, the existence of a Foley catheter is necessary to make the bladder empty when inserting or relocating the catheter or until the time the catheter is removed.
Article number: 7
Article Type: Case Report |
Subject:
Women Diseases
Received: 2024/11/7 | Accepted: 2024/11/30 | Published: 2025/01/22
Received: 2024/11/7 | Accepted: 2024/11/30 | Published: 2025/01/22
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