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A Study of Tubo‐Ovarian and Ovarian Abscesses, with a Focus on Cases with Endometrioma
Author(s) -
Kubota Takeyoshi,
Ishi Kazuhisa,
Takeuchi Hisaya
Publication year - 1997
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1997.tb00867.x
Subject(s) - medicine , endometriosis , focus (optics) , gynecology , ovary , general surgery , physics , optics
Objective : To determine the incidence and causes of endometrioma‐associated tubo‐ovarian abscesses (TOAs) and ovarian abscesses. Methods : The medical records of 6,557 gynecologic inpatients were reviewed, and the data were analyzed using the median test and χ 2 test. Results : The incidence of TOAs was 2.3% (5/218) in patients with endometrioma, and 0.2% (11/6,339) in patients without endometrioma (p = 0.0001). Among the TOA cases ( n = 16), no significant differences in age, parity, history of pelvic surgery, or isolated organisms were observed between the subgroups with ( n = 5) and without endometrioma ( n = 11). There were only 2 cases of ovarian abscess, and both were associated with endometrioma. The causes of the abscesses in the 7 cases with endometrioma were contamination during surgery (1 case), contamination during a transvaginal endometrioma aspiration (1 case), and ascending infection (1 case), and unknown in 4 cases. Conclusions : The presence of endometrioma is a risk factor for the development of a TOA or an ovarian abscess.