Section 60
Chapter 59,178

Tubo-ovarian abscess in non sexually active adolescents

Alsahabi, J.A.; Aldakhil, L.O.; Alobaid, A.S.

International Journal of Adolescent Medicine and Health 29(2)


ISSN/ISBN: 2191-0278
PMID: 26556838
DOI: 10.1515/ijamh-2015-0051
Accession: 059177471

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A tubo-ovarian abscess is a rare presentation in non-sexually active adolescents; only 11 cases have been reported in the literature. Variable approaches for diagnosis and management are described. We present a 19-year-old, non-sexually active, medically free girl, who had an abdominopelvic mass with abdominal pain and vomiting followed by fever. She had a confusing presentation of malignancy versus tuberculosis, with the help of imaging, diagnosis and treatment with percutaneous drainage, conservative treatment was achieved. Diagnosis of a tubo-ovarian abscess is difficult in non-sexually active adolescents, a high clinical index of suspicion is important as misdiagnosis may lead to radical and aggressive management, conservative management is possible in many of these patients.

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