J Korean Pediatr Soc.
2000 Mar;43(3):432-437.
A Case of Bilateral Tubo-Ovarian Abscesses in a One-and-Half Year-Old Girl
- Affiliations
-
- 1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea.
- 2Department of General Surgery, College of Medicine, Korea University, Seoul, Korea.
- 3Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea.
- 4Department of Diagnostic Radiology, College of Medicine, Korea University, Seoul, Korea.
- 5Department of Anatomical Pathology, College of Medicine, Korea University, Seoul, Korea.
Abstract
- Tubo-ovarian abscess is an end-stage disease of acute pelvic inflammatory disease (PID). Since most cases of PID are caused by sexually transmitted microorganisms, this is very rare in children. Here, we report an 1 1/2-year-old girl with bilateral tubo-ovarian abscesses. She was admitted to our Department with chief complaints of fever, vomiting and diarrhea. Abdominal ultrasonography and CT scanning of the patient showed solid and cystic masses in pelvic cavity. It was very difficult to differentiate the lesions from abscess and tumor. In addition, intravenous pyelography (IVP) and abdominal CT scanning of the patient showed both hydronephrosis and ureteral dilatation. Because of severe visceral adhesions, we could not perform laparoscopic examination of the pelvic masses. By exploratory operation and frozen biopsy, the masses were confirmed as tubo-ovarian abscesses and they were drained. In the bacterial culture, K. pneumoniae and E. coli were grown. The patient was treated with sensitive antibiotics and recovered from her disease. After 4 weeks of operation, IVP showed no abnormal findings and voiding cystourethrography (VCUG) showed grade I vesicoureteral reflux of the left side. It was suggested the hydronephroses were developed by the ureteral obstruction of tubo-ovarian abscesses.
