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Pelvic Inflammatory Disease and Tubo-Ovarian Abscesses

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Handbook of Consult and Inpatient Gynecology

Abstract

Pelvic inflammatory disease, defined as inflammation of the upper genital tract, can cause pain and lead to long-term reproductive sequelae. Tubo-ovarian abscess (TOA, abscess of the adnexa) occurs less commonly but can progress to severe sepsis. This chapter reviews risk factors for these conditions and diagnostic and management approaches, including antibiotic regimens and interventions for TOAs.

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References

  1. Wiesenfeld HC, Sweet RL, Ness RB, Krohn MA, Amortegui AJ, Hillier SL. Comparison of acute and subclinical pelvic inflammatory disease. Sex Transm Dis. 2005;32:400–5.

    Article  PubMed  Google Scholar 

  2. Mitchell C, Prabhu M. Pelvic inflammatory disease: current concepts in pathogenesis, diagnosis and treatment. Infect Dis Clin North Am. 2013;27:793–809.

    Article  PubMed  Google Scholar 

  3. Jossens MO, Eskenazi B, Schachter J, Sweet RL, et al. Risk factors for pelvic inflammatory disease. A case control study. Sex Transm Dis. 1996;23:239–47.

    Article  CAS  PubMed  Google Scholar 

  4. Burnett AM, Anderson CP, Zwank MD. Laboratory-confirmed gonorrhea and/or chlamydia rates in clinically diagnosed pelvic inflammatory disease and cervicitis. Am J Emerg Med. 2012;30:1114–7.

    Article  PubMed  Google Scholar 

  5. Ness RB, Kip KE, Hillier SL, Soper DE, Stamm CA, Sweet RL, et al. A cluster analysis of bacterial vaginosis-associated microflora and pelvic inflammatory disease. Am J Epidemiol. 2005;162:585–90.

    Article  PubMed  Google Scholar 

  6. Pelvic Inflammatory Disease. Centers for Disease Control and Prevention website. http://www.cdc.gov/std/tg2015/pid.htm. Updated June 4, 2015. Accessed 7 July 2015.

  7. Lareau SM, Beigi RH. Pelvic inflammatory disease and tubo-ovarian abscess. Infect Dis Clin North Am. 2008;22:693–708.

    Article  PubMed  Google Scholar 

  8. Sweet RL. Treatment of acute pelvic inflammatory disease. Infect Dis Obstet Gynecol. 2011;2011:561909.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Weström L, Joesoef R, Reynolds G, Hagdu A, Thompson SE. Pelvic inflammatory disease and fertility. A cohort study of 1,844 women with laparoscopically verified disease and 657 control women with normal laparoscopic results. Sex Transm Dis. 1992;19:185–92.

    Article  PubMed  Google Scholar 

  10. Weström L. Effect of acute pelvic inflammatory disease on fertility. Am J Obstet Gynecol. 1975;121:707–13.

    Article  PubMed  Google Scholar 

  11. McNeeley SG, Hendrex SL, Mazzoni MM, Kmak DC, Ransom SB. Medically sound, cost-effective treatment for pelvic inflammatory disease and tuboovarian abscess. Am J Obstet Gynecol. 1998;178:1272–8.

    Article  CAS  PubMed  Google Scholar 

  12. Kamenga MC, De Cock KMS, Louis ME, Touré CK, Zakaria S, N’gbichi JM, et al. The impact of human immunodeficiency virus infection on pelvic inflammatory disease: a case-control study in Abidjan, Ivory Coast. Am J Obstet Gynecol. 1995;172:919–25.

    Article  CAS  PubMed  Google Scholar 

  13. Landers DV, Sweet RL. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis. 1983;5:876–84.

    Article  CAS  PubMed  Google Scholar 

  14. Yudin MH, Hillier SL, Wiesenfeld HC, Krohn MA, Amortegui AA, Sweet RL. Vaginal polymorphonuclear leukocytes and bacterial vaginosis as markers for histologic endometritis among women without symptoms of pelvic inflammatory disease. Am J Obstet Gynecol. 2003;188:318–23.

    Article  PubMed  Google Scholar 

  15. Bulas DI, Ahlstrom PA, Sivit CJ, Blask AR, O’Donnell RM. Pelvic inflammatory disease in the adolescent: comparison of transabdominal and transvaginal sonographic evaluation. Radiology. 1992;183:435–9.

    Article  CAS  PubMed  Google Scholar 

  16. Romosan G, Valentin L. The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic inflammatory disease: a review of the literature. Arch Gynecol Obstet. 2014;289:705–14.

    Article  CAS  PubMed  Google Scholar 

  17. Timor-Tritsch IE, Lerner JP, Monteagudo A, Murphy KE, Heller DS. Transvaginal sonographic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol. 1998;12:56–66.

    Article  CAS  PubMed  Google Scholar 

  18. Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynaecol. 2009;23:667–78.

    Article  PubMed  Google Scholar 

  19. Chappell CA, Wiesenfeld HC. Pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and tuboovarian abscess. Clin Obstet Gynecol. 2012;55:893–903.

    Article  PubMed  Google Scholar 

  20. Hiller N, Sella T, Lev-Sagi A, Fields S, Lieberman S. Computed tomographic features of tuboovarian abscess. J Reprod Med. 2005;50:203–8.

    PubMed  Google Scholar 

  21. Dohke M, Watanabe Y, Okumura A, Amoh Y, Hayashi T, Yoshizako T, et al. Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 2000;20:1551–66.

    Article  CAS  PubMed  Google Scholar 

  22. Noone TC, Semelka RC, Worawattanakul S, Marcos HB. Intraperitoneal abscesses: diagnostic accuracy of and appearances at MR imaging. Radiology. 1998;208:525–8.

    Article  CAS  PubMed  Google Scholar 

  23. Hosenfeld CB, Workowski KA, Berman S, Zaidi A, Dyson J, Mosure D, et al. Repeat infection with chlamydia and gonorrhea among females: a systematic review of the literature. Sex Transm Dis. 2009;36:478–89.

    Article  PubMed  Google Scholar 

  24. Protopapas AG, Diakomanolis ES, Milingos SD, Rodolakis AJ, Markaki SN, Vlachos GD, et al. Tubo-ovarian abscesses in postmenopausal women: gynecological malignancy until proven otherwise? Eur J Obstet Gynecol Reprod Biol. 2004;114:203–9.

    Article  PubMed  Google Scholar 

  25. Perez-Medina T, Huertas MA, Bajo JM. Early ultrasound-guided transvaginal drainage of tubo-ovarian abscesses: a randomized study. Ultrasound Obstet Gynecol. 1996;7:435–8.

    Article  CAS  PubMed  Google Scholar 

  26. Dewitt J, Reining A, Allsworth JE, Peipert JF. Tuboovarian abscesses: is size associated with duration of hospitalization & complications? Obstet Gynecol Int. 2010;2010:847041.

    PubMed  PubMed Central  Google Scholar 

  27. Romosan G, Bjartling C, Skoog L, Valentin L. Ultrasound for diagnosing acute salpingitis: a prospective observational diagnostic study. Hum Reprod. 2013;28:1569–79.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women’s Hospital, Boston, MA, USA

    Paula C. Brady MD

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  1. Paula C. Brady MD
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Correspondence to Paula C. Brady MD .

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© 2016 Springer International Publishing Switzerland

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Brady, P.C. (2016). Pelvic Inflammatory Disease and Tubo-Ovarian Abscesses. In: Handbook of Consult and Inpatient Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-27724-0_6

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  • DOI: https://doi.org/10.1007/978-3-319-27724-0_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27722-6

  • Online ISBN: 978-3-319-27724-0

  • eBook Packages: MedicineMedicine (R0)

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