Hydronephrosis Due to Bilateral Tubo-ovarian Abscess

Abstract

A 27-year-old female presented to the emergency department with fevers, nausea, chills, and non-specific bilateral lower quadrant abdominal pain. A pregnancy test was negative. Computed tomography demonstrated moderate left hydronephrosis secondary to tubo-ovarian abscess (TOA). The abscess was so large it distorted local anatomy and compressed the ureters. She was prescribed merepenem and admitted for care by obstetrics/gynecology.

Pelvic inflammatory disease with obstructive complications: two cases and a literature review

“…In patients with complications of hydronephrosis secondary to PID, the first-line management would be intravenous antibiotics to treat the underlying infection. [ 17 ] Renal function should be closely monitored to assess response to treatment. Patients with complications of acute kidney injury may benefit from a percutaneous nephrostomy insertion to relieve the obstruction and preserve renal function.…”