Diagnostic Laparoscopy for Ovarian Tumor Due to Salmonella Infection

Abstract

Ovarian abscess is thought to be caused by ascending infection. We experienced a case with ovarian abscess caused by Salmonella. The patient had been monitored for endometrial cysts at an outpatient clinic. She visited our hospital emergently with chief complaints of persistent fever and diarrhea. Although sexually transmitted disease was not suspected, she was diagnosed with pelvic inflammatory disease due to her high C-reactive protein (CRP) level and started antibacterial treatment. Two days later, diagnostic laparoscopy was performed for persisting CRP elevation, and she was diagnosed with ovarian abscesses due to Salmonella infection. As the patient had regularly eaten soft-boiled eggs and chicken, an association with her eating habits was strongly suspected as a cause. When a patient has symptoms of enteritis, preceding tubo-ovarian abscess should be considered the possibility of Salmonella infection. Early diagnosis and treatment are necessary for fertility preservation, and minimally invasive diagnostic laparoscopy is useful.

Salmonella hvittingfoss, a rare case of postoperative endometritis: A case report and review of the literature

“…The pelvic organs are a rare but described extra‐intestinal location of invasive Salmonella infections 5 . In literature, there are more than 30 cases documented of a Salmonella abcedation of the ovaries, mostly occurring in case of a pre‐existing cyst 7,13–15 . A few case studies of pelvic inflammatory disease caused by a non‐typhoid Salmonella species are reported 5,16 .…”

“… 5 In literature, there are more than 30 cases documented of a Salmonella abcedation of the ovaries, mostly occurring in case of a pre‐existing cyst. 7 , 13 , 14 , 15 A few case studies of pelvic inflammatory disease caused by a non‐typhoid Salmonella species are reported. 5 , 16 Moreover, non‐typhoidal Salmonella infections are described in pregnancy resulting in various complications, including septic abortion, pregnancy loss, chorioamnionitis and neonatal sepsis.…”

Laparoscopic Surgical Management of an Iatrogenic Tubo-ovarian Abscess Following Hysteroscopy in a Sexually Inexperienced Female

“…It is usually a consequence of PID. [ 1 2 3 ] A TOA may form as an untoward consequence of a hysteroscopic procedure. This adverse outcome is rare, with an incidence rate of about only 0.2%.…”