Torsión anexial: experiencia en el Complejo Hospitalario Universitario de Albacete

Pajares, Elena M.a Losa; Jiménez, Raquel Villar; López, Ana Belén González; Merlo, Gaspar González de

doi:10.1016/j.pog.2011.03.003

Cited by 1 publication

(1 citation statement)

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“…Usually an adnexal mass, either solid or cystic, can be identified on ultrasound; the mass produces torsion of the enlarged ovary around its vascular supply, and abdominal pain is a typical symptom, often of sudden onset. The torsion can spontaneously reverse, in which case the patient may present with intermittent symptoms and often spontaneous resolution of the torsion [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Ovarian necrosis due to S. pyogenes septic thrombophlebitis: A case report

Guntiñas¹,

Kirk²,

Blanco³

et al. 2018

Case Reports in Women's Health

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The incidence of systemic infection attributed to group A streptococci (GAS) is increasing, mainly in postpartum women. Such infections require multidisciplinary management and prompt treatment, but an atypical presentation can delay diagnosis.We report the case of a 24-year-old woman admitted to the emergency department for evaluation. She had acute abdominal pain and fever 18 h after insertion of a levonorgestrel intrauterine device (IUD).She had a normal vaginal delivery 45 days earlier, and no other significant medical background. In a few hours the symptoms worsened, with rapid progression towards multiorgan failure. Differential diagnoses of late ovarian thrombophlebitis and ovarian torsion were considered. Laparoscopic surgery revealed the absence of ovarian torsion. The microbiologic culture of the IUD showed colonization by GAS.The sudden onset of shock-like symptoms in a postpartum woman with rapid progression towards multiorgan failure should prompt consideration of a diagnosis of GAS infection, so that appropriate treatment can be initiated to avoid the possible fatal consequences of this aggressive infection.

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Section: Discussionmentioning

confidence: 99%