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Pelvic abscess is a collection of pus in the pelvis, typically occurring following lower abdominal surgical procedures, or as a complication of pelvic inflammatory disease (PID), appendicitis, or lower genital tract infections. [1] Signs and symptoms include a high fever, pelvic mass, vaginal bleeding or discharge, and lower abdominal pain. [1]
In women, the rectouterine pouch is the deepest point of the peritoneal cavity. It is posterior to the uterus, and anterior to the rectum. [2] Its anterior boundary is formed by the posterior fornix of the vagina. [1] The pouch on the other side of the uterus near to the anterior fornix is the vesicouterine pouch.
Lateral view of a woman's prominent mons pubis. Although present in both men and women, the mons pubis tends to be larger in women. [1] [6] Its fatty tissue is sensitive to estrogen, causing a distinct mound to form with the onset of female puberty. [4] [6] [7] [8] This pushes the forward portion of the labia majora out and away from the pubic ...
Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, mainly the uterus, fallopian tubes, and ovaries, and inside of the pelvis. [5] [2] Often, there may be no symptoms. [1]
These abscesses are found most commonly in reproductive age women and typically result from upper genital tract infection. [1] [2] It is an inflammatory mass involving the fallopian tube, ovary and, occasionally, other adjacent pelvic organs. A TOA can also develop as a complication of a hysterectomy.
The Skene's glands' openings are located in the vestibule of the vulva, around the lower end of the urethra. [2] The two Skene's ducts lead from the Skene's glands to the vulvar vestibule, to the left and right of the urethral opening, from which they are structurally capable of secreting fluid.
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The final structure of the abscess is an abscess wall, or capsule, that is formed by the adjacent healthy cells in an attempt to keep the pus from infecting neighboring structures. However, such encapsulation tends to prevent immune cells from attacking bacteria in the pus, or from reaching the causative organism or foreign object.