TOA, cystic rupture

목차

1. Surgeon’s DDX for RLQ pain
2. Definition and Epidemiology
3. Causes of TOA
4. PID and TOA
5. Signs and Symptoms
6. IMAGE/ Ultrasound TOA
7. Computed Tomography TOA
8. Treatment
9. DIAGNOSIS AND EVALUATION 
reference

본문내용

Definition and Epidemiology
Tuboovarian abscess (TOA): Abscess involving the ovary or fallopian tube
Tuboovarian complex (TOC): Edematous, dilated infected pelvic structures without abscess formation
Pyosalpinx: infected fallopian tube
Women 20-40, peak 20-24

Causes of TOA
Pelvic inflammatory disease (PID)
IUD (older devices, Dalkon Shield)
Pelvic surgery
Intra-abdominal processes/infections
Infertility treatments

참고 자료

Dafopoulos K, Galazios G, Georgadakis G, et al. Two episodes of hemoperitoneum from luteal cysts rupture in a patient with congenital factor X deficiency. Gynecol Obstet Invest 2003; 55:114.
Müller CH, Zimmermann K, Bettex HJ, et al. Near-fatal intra-abdominal bleeding from a ruptured follicle during thrombolytic therapy. Lancet 1996; 347:1697.
Shulman et al, “Percutaneous catheter drainage of tuboovarian abscess,” Obstet Gynecol, 1992, 80:55.
Teisala et al, “Transvaginal ultrasound in the diagnosis and treatment of tuboovarian abscess.” Br J Obstet Gynaecol 1990, 97:178.
Reich et al, “Laparoscopic treatment of tuboovarian and pelvic abscess,” J Reprod Med 1987, 32_747.