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Tubo-Ovarian Abscess Complicating Pelvic Inflammatory Disease

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Pelvic Inflammatory Disease

Abstract

Pelvic Inflammatory Disease (PID) usually involves infection of the en-dometrial cavity, the fallopian tubes, and the pelvic peritoneal cavity. The proximity of the ovary to the distal fallopian tube places it at risk for infection from adjacent infected structures; particularly at the time of ovulation, which may provide a portal of entry for organisms to gain access to the ovarian stroma. When infection extends beyond the fallopian tube to involve the ovary, the resultant inflammatory response may isolate and wall-off the distal fallopian tube and ovary. As the normal architecture of the fallopian tube and ovary is destroyed in the host’s attempt to localize the infection, the result is frequently a sizable tubo-ovarian abscess (TOA). In one series a TOA was identified in 34% of women hospitalized with acute PID although the incidence of TOA has been reported to range from 15% to 34%.1,2 Because the incidence of TOA is reported as the percent of hospitalized PID patients with TOAs, the reported incidence vary widely depending on how frequently PID patients are hospitalized for treatment.

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Authors
  1. Daniel V. Landers
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Editors and Affiliations

  1. Division of Reproductive Infectious Diseases and Immunology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Women’s Hospital, Pittsburgh, PA, 15213-3180, USA

    Daniel V. Landers M.D. (Associate Professor and Director) (Associate Professor and Director)

  2. Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Women’s Hospital, Pittsburgh, PA, 15213-3180, USA

    Richard L. Sweet M.D. (Professor and Chairman) (Professor and Chairman)

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© 1997 Springer Science+Business Media New York

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Landers, D.V. (1997). Tubo-Ovarian Abscess Complicating Pelvic Inflammatory Disease. In: Landers, D.V., Sweet, R.L. (eds) Pelvic Inflammatory Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-0671-2_6

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  • DOI: https://doi.org/10.1007/978-1-4612-0671-2_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-6863-5

  • Online ISBN: 978-1-4612-0671-2

  • eBook Packages: Springer Book Archive

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