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The value of ultrasonographic tubo‐ovarian abscess morphology in predicting whether patients will require surgical treatment
Author(s) -
Kinay Tugba,
Unlubilgin Eylem,
Cirik Derya A.,
Kayikcioglu Fulya,
Akgul Mehmet A.,
Dolen Ismail
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2016.04.006
Subject(s) - medicine , abscess , medical record , retrospective cohort study , pelvic inflammatory disease , surgery , cohort , radiology
Objective To determine if the ultrasonographic morphology of a tubo‐ovarian abscess (TOA) could be used to predict if a patient will require surgical treatment. Method A retrospective cohort study reviewed medical records from patients diagnosed with TOA via ultrasonography between January 2009 and January 2014 at a tertiary referral center in Turkey. Patients with pelvic inflammatory disease and an inflammatory adnexal mass, identified during sonographic examination, were included in the study. Ultrasonographic morphology, demographic characteristics, and clinical and laboratory findings were compared between patients who required surgical treatment and those who did not. Results Records were included from 164 patients; medical therapy was successful in 121 (73.8%) patients and 43 (26.2%) required surgical treatment. TOA morphology was identified, using ultrasonography, as unilocular cystic, complex multicystic mass, or pyosalpinx in 56 (34.1%), 73 (44.5%), and 35 (21.3%) patients, respectively. No correlation was present between ultrasonographic TOA morphology and patients requiring surgical treatment (all P > 0.05). Multivariate analyses demonstrated that an abscess larger than 6.5 cm in size ( P = 0.027), fever at admission ( P < 0.001), and parity greater than two ( P = 0.026) were independent predictors of patients requiring surgical treatment for TOA. Conclusion Although increased TOA size, fever at admission, and parity were associated with increased odds of patients with TOA requiring surgical treatment, ultrasonographic TOA morphology was not.