Tubo-ovarian abscess

Description:

Tubo-ovarian abscess – the cavity in a uterine tube and an ovary containing pus and delimited from surrounding fabrics by a piogenic membrane.

Symptoms of Tubo-ovarian abscess:

Clinical manifestations:
pains in the bottom of a stomach before receipt in a hospital;
generalized pain on all stomach at hit of pus in an abdominal cavity;
irradiation of pain in an upper quadrant of a stomach, a waist;
strengthening of oxycinesias;
forced position of a body;
fever, tachycardia, lowering of arterial pressure;
febricula, weakness, appetite loss;
nausea, vomiting, diarrhea;
fever (38-40 °C);
purulent discharges from a vagina;
positive symptoms of irritation of a peritoneum;
strengthening of pain at the shift of a neck of uterus;
palpation of tumorous education with one or the parties from a uterus, painful, with indistinct contours.

Reasons of Tubo-ovarian abscess:

Risk factors and reasons of development of tubo-ovarian abscess:
- young age
- active sexual relations with frequent change of the partner
- infections, sexually transmitted
- salpingitis
- salpingo-oophoritis
- EKO complication

Treatment of Tubo-ovarian abscess:

At the initial stages carry out the conservative therapy including:
bed rest;
correction of disturbance of water and electrolytic balance, immunomodulators;
the sedative drugs desensibilizing means;
antibiotics intravenously, metronidazole;
in the presence of Naval Forces – removal it;
drainage of inflammatory educations and pelvic abscesses.
Indications to surgical treatment:
lack of effect of intensive conservative care within 4 hours of its carrying out;
perforation of a pyosalpinx or tubo-ovarian abscess, diffuse peritonitis;
infectious and toxic shock.