tubo-ovarian abscess (TOA)
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Introduction
An abscess involving the fallopian tube & the ovary.
Etiology
- extension of purulent inflammation of the fallopian tube
Epidemiology
- 100,000 hospitalizations/year
Clinical manifestations
- lower abdominal pain
- adnexal or cervical motion tenderness
- mass on vaginal palpation
- fever[2]
Management
- broad-spectrum antibiotics*
- ceftriaxone 1 g IV every 24 hours plus doxycycline 100 mg orally or IV every 12 hours plus metronidazole 500 mg orally or IV every 12 hours[3]
- may be used in combination with transvaginal ultrasound guided aspiration[2]
- surgery
* treat as pelvic inflammatory disease[3]
More general terms
References
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
- ↑ 2.0 2.1 2.2 Gjelland K, Ekerhovd E, Granberg S. Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: a study of 302 cases. Am J Obstet Gynecol. 2005 Oct;193(4):1323-30. PMID: https://pubmed.ncbi.nlm.nih.gov/16202721
- ↑ 3.0 3.1 3.2 Brunham RC, Gottlieb SL, Paavonen J. Pelvic inflammatory disease. N Engl J Med. 2015 May 21;372(21):2039-48. PMID: https://pubmed.ncbi.nlm.nih.gov/25992748 Review. No abstract available. https://www.nejm.org/doi/full/10.1056/NEJMra1411426
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 20 American College of Physicians, Philadelphia 2025