Tubo-ovarian abscess in woman with an intrauterine device forgotten for 22 years

Luedders, Doerte W.; Chalvatzas, Nektarios; Banz, C.; Horneman, Amadeus; Diedrich, K.; Kavallaris, Andreas

doi:10.1007/s10397-009-0550-y

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…It is a polymicrobial infection typically occurring in young sexually active women [1]. Predisposing factors in the development of TOA include sexual activity, multiple sexual partners, nulliparity, previous episodes of PID, lower socioeconomic status and the use of intrauterine devices [2]. Transvaginal ultrasound is the initial imaging modality of choice in the diagnosis of TOA, due to its convenience and cost-effectiveness.…”

Section: Introductionmentioning

confidence: 99%

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

Rakheja

Makis

Hickeson

2011

Nucl Med Mol Imaging

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A 20-year-old woman, who presented with a several-week history of abdominal pain, was referred for magnetic resonance imaging (MRI) and 18 F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) after an ultrasound showed complex cystic masses arising from both ovaries. The MRI and 18 F-FDG PET/CT imaging characteristics of the ovarian masses were strongly suspicious for malignancy, and the masses were surgically removed. Histopathological evaluation revealed a bilateral tubo-ovarian abscess, with no evidence of malignancy. This case highlights a potentially serious pitfall in the evaluation of suspicious pelvic masses by 18 F-FDG PET/CT, whereby a complex bilateral tubo-ovarian abscess may mimic the PET/CT imaging characteristics of an ovarian or pelvic malignancy.

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Section: Introductionmentioning

confidence: 99%

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

Rakheja

Makis

Hickeson

2011

Nucl Med Mol Imaging

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“…While IUCD-related actinomycosis is well-documented in the literature, only two cases of Candida-related tubo-ovarian abscess from IUCDs have been published to date 6 7. Our patient had several risk factors for candidiasis, including her age, poorly controlled diabetes mellitus and smoking.…”

Section: Discussionmentioning

confidence: 79%

Candida: an unexpected cause of the acute abdomen

Thrumurthy

Tiew²,

Wood³

et al. 2010

Case Reports

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The infected intrauterine contraceptive device (IUCD) is a well-described cause of the acute abdomen. However, severe pelvic infection from Candida is an extremely rare complication of the IUCD. We present the first reported description of a Candida-infected IUCD manifesting as an acute abdomen where the degree of infection precluded a conclusive diagnostic workup and necessitated multiple laparotomies. This case highlights the importance for the clinicians to thoroughly exclude such causes of acute sepsis even after exclusion in the presenting history.

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