Ovarian abscess caused by Peptostreptococcus magnus following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol

Hiroshige Mikamo, H Mikamo, Mikamo H, Kawazoe K, K Kawazoe, Kyoko Kawazoe, Sato Y, Y Sato, Yutaka Satō, Itoh M, Masahiro Itoh, M. Itoh, T Tamaya, Tamaya T
Infectious diseases in obstetrics and gynecology · 1998 · vol. 6(2) , pp. 66–68 · doi:10.1002/(sici)1098-0997(1998)6:2<66::aid-idog7>3.0.co;2-5 · PMID:9702588 · PMC1784778 · W2132452067
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This case report describes two infertile women who developed ovarian abscesses caused by Peptostreptococcus magnus after transvaginal ultrasound-guided aspiration of ovarian endometrioma and ethanol fixation.

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Abstract

BACKGROUND: Transvaginal ultrasound-guided aspiration of ovarian endometrioma has been applied and emphasized as a safe and simple procedure. CASE: Two 27-year-old infertile women, both gravida 0, para 0, underwent medical follow-up examinations for cases of ovarian endometrioma. Both had undergone transvaginal ultrasound-guided aspiration of ovarian endometrioma. Because both were continuously febrile and had abdominal pain and cysts with tenderness in spite of antibiotic therapies, both underwent laparotomies for treatment. In both cases, enucleation of the ovarian abscess revealed purulent and malodorous fluid that demonstrated Peptostreptococcus magnus in culture. CONCLUSION: We theorize that following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol, anaerobic infection by P. magnus occurred, and a cyst formed in the abscess.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abscess Endometriosis Ethanol Gram-Positive Bacterial Infections Ovarian Diseases Peptostreptococcus Abscess Abscess Adult Adult Endometriosis Endometriosis Ethanol Ethanol Female Female Gram-Positive Bacterial Infections Gram-Positive Bacterial Infections Humans Humans

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