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A tubo-ovarian abscess (TOA) is one of the late complications of pelvic inflammatory disease (PID) and can be life-threatening if the abscess ruptures and results in sepsis. It consists of an encapsulated or confined pocket of pus with defined boundaries that forms during an infection of a fallopian tube and ovary. These abscesses are found ...
[1] [3] The abscess may be in the pouch of Douglas, fallopian tube, ovary, or parametrium. [1] It begins as inflammation or a collection of blood in the pelvis. [1] Other risk factors include immunodeficiency, pregnancy, hydrosalpinx, endometrioma, poorly controlled diabetes, kidney disease, obesity, and genital tract abnormalities.
[2] [10] Risk factors are generally similar to those of sexually transmitted infections and include a high number of sexual partners and drug use. [2] Vaginal douching may also increase the risk. [2] The diagnosis is typically based on the presenting signs and symptoms. [2]
The more times one has the infection, the greater the risk of infertility. With one episode of salpingitis, the risk of infertility is 8-17%. With 3 episodes of salpingitis, the risk is 40-60%, although the exact risk depends on the severity of each episode. [2] Damaged oviducts from salpingitis increase the risk of an ectopic pregnancy by 7-10 ...
Fitz-Hugh–Curtis syndrome occurs almost exclusively in women, though it can be seen in males rarely. [5] It is complication of pelvic inflammatory disease (PID) caused by Chlamydia trachomatis (Chlamydia) or Neisseria gonorrhoeae (Gonorrhea) though other bacteria such as Bacteroides, Gardnerella, E. coli and Streptococcus have also been found to cause Fitz-Hugh–Curtis syndrome on occasion. [6]
Reproductive tract infection (RTI) are infections that affect the reproductive tract, which is part of the reproductive system.For females, reproductive tract infections can affect the upper reproductive tract (fallopian tubes, ovary and uterus) and the lower reproductive tract (vagina, cervix and vulva); for males these infections affect the penis, testicles, urethra or the vas deferens.
A pyosalpinx is typically seen in a more acute stage of pelvic inflammatory disease and may be part of a tubo-ovarian abscess. Tubal phimosis refers to a situation where the tubal end is partially occluded, in this case fertility is impeded, and the risk of an ectopic pregnancy is increased.
One of the most important factors used to determine the clinical suspicion of malignancy of an adnexal mass is the sonographic appearance of the mass. [2] Indications that the mass is at a higher risk of being malignant include the presence of loculations, nodules, papillary structures, septations, or a size greater than 10 cm. [3] [4]