Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: A study of 302 cases

Comparison of CT‐ or ultrasound‐guided drainage with concomitant intravenous antibiotics vs. intravenous antibiotics alone in the management of tubo‐ovarian abscesses

“…Gjelland et al and Aboulgahr et al reported faster fever resolution with abscess drainage, which we also found in this study 13,14 . In our population, more than 70% of febrile patients undergoing primary drainage were afebrile by 48 h. We report a trend towards a shorter hospital stay in the drainage group, in accordance with previous data 15,16 .…”

“…Using either ultrasound or CT guidance, several smaller and a large study have been reported, including a small randomized study 10 -16 . Success rates for primary drainage have been in the range of 86-100%, with the largest study by Gjelland et al reporting 93.4% complete response 14 . These reported outcomes are in accordance with the findings of the current investigation.…”

Bilateral Tubo-Ovarian Abscess Mimics Ovarian Cancer on MRI and 18F-FDG PET/CT

“…PID is a polymicrobial infection characterized by inflammation of the upper genital tract, including endometritis, salpingitis and pelvic peritonitis [6][7][8][9]. Secondary TOA can rarely arise from inflammatory bowel disease, diverticulitis, appendicitis, pelvic surgery, pelvic malignancy, or ovarian hyperstimulation [10,11]. Only 50% of women with TOA present with fever and chills, symptoms that were absent in our patient.…”

Sonography of the Pelvic Infection

“…1). 4 And so, a portion of the ampulla can be seen, including the fimbrias (Figs 2 and 3). If the liquid surrounds the fimbria, more extension of the tube can be seen (Fig.…”