Abstract
Tubo-ovarian abscesses are considered a problem only during the childbearing years because of their rarity in the postmenopausal age group. Three case reports are described, in which pelvic abscesses were diagnosed in elderly women and necessitated surgical intervention. The early recognition and surgical treatment of pelvic abscesses is mandatory in the postmenopausal woman, who often is a poor-risk patient. Nothing is to be gained by delay of definitive treatment, and the risk of serious deterioration is obvious. Therefore, the gynecologist and surgeon should be alert to this uncommon diagnosis in the elderly woman and be prepared for early surgical intervention.
Résumé
Les abcès tubo-ovariens très fréquents chez l'adolescente sont très rares chez la femme après la ménopause. Trois cas d'abcès tubo-ovariens chez la femme âgée qui ont nécessité une intervention chirurgicale sont relatés.
Le diagnostic et le traitement précoce de l'abcès pelvien chez la femme âgée est indispensable car elle représente un sujet à haut risque. Rien de bénéfique ne peut être obtenu en retardant le traitement chirurgical et les risques alors ne font que s'accroitre. Le gynécologue et le chirurgien doivent être prévenus de ce diagnostic rare chez la femme âgée et être prêts à intervenir.
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Blumenfeld, Z., Toledano, C., Eitan, A. et al. Tubo-ovarian abscess in the postmenopausal woman. World J. Surg. 6, 634–636 (1982). https://doi.org/10.1007/BF01657884
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DOI: https://doi.org/10.1007/BF01657884