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Comparison of severe pelvic inflammatory disease, pyosalpinx and tubo‐ovarian abscess
Author(s) -
Kim Ho Yeon,
Yang Jeong In,
Moon ChongSoo
Publication year - 2015
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/jog.12617
Subject(s) - medicine , pelvic inflammatory disease , abscess , gynecology , surgery
Aim Inflammation of the upper genital tract causes pelvic inflammatory disease ( PID ), which may be complicated by pelvic abscesses, such as pyosalpinx and tubo‐ovarian abscess ( TOA ). This study aimed to determine the clinical differences between pyosalpinx and TOA in patients with PID . Material and Methods We retrospectively evaluated 458 female patients who were admitted to H allym U niversity K ang D ong S acred H eart H ospital for a clinical diagnosis of PID from 1 J anuary 2007 to 30 A pril 2012. Sociodemographic, clinical and laboratory data were compared among the non‐abscess, pyosalpinx, and TOA groups. Results We identified 110 patients (24%) diagnosed with pelvic abscess associated with PID , including 34 with pyosalpinx and 76 with TOA . The pyosalpinx group had shorter hospital stays ( P = 0.007), lower C ‐reactive protein levels ( P = 0.015), smaller mass sizes ( P < 0.001), and fewer surgical interventions ( P < 0.001) than the TOA group. Conclusions Pyosalpinx is a less severe form of PID that leads to shorter hospital stays and more favorable outcomes than TOA .