Tubo-ovarian abscess: pathogenesis and management

Review OA: green CC0 ⤵ 2 in-corpus citations
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This review clarifies the pathogenesis of tubo-ovarian abscesses, separating fact from fiction, and discusses diagnostic steps and management guidelines.

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Abstract

That a female patient with abdominal pain is often considered to have pelvic inflammatory disease until proven otherwise is ubiquitous in the medical literature. This view is dangerous and should be challenged because it has resulted in episodes of ruptured appendix, death from ruptured ectopic pregnancies, and serious morbidity from delayed diagnoses of such entities as diverticulitis and endometriosis. Proper diagnostic steps should be taken for all patients with abdominal pain of unclear etiology.This article reviews the pathogenesis of tubo-ovarian abscesses so as to separate and clearly identify fact from fiction. Diagnostic steps and management guidelines are discussed.

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Condition tags

mesh:D004716endometriosis

MeSH descriptors

Abscess Fallopian Tube Diseases Ovarian Diseases Abscess Abscess Abscess Endometritis Endometritis Endometritis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Female Female Humans Humans Intrauterine Devices Intrauterine Devices Ovarian Diseases Ovarian Diseases

Citation neighborhood (sparse)

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Cited by (2)

References (100)

Cited by (2)

Source provenance

europepmc
last seen: 2026-11-01T09:25:17.647243+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:34:45.789541+00:00
License: CC0 · commercial use OK