Onur GÜNALDI, Berna HALİLOĞLU PEKER, Hakan PEKER

RÜPTÜRE ENDOMETRİOMA SONRASI GELİŞEN TUBO-OVARİAN APSE; VİRGİN KADINLARDA NADİR GÖRÜLEN BİR OLGU SUNUMU VE LİTERATÜR ARAŞTIRMASI

Virgin kadınlarda, endometrioma kist rüptürü ile birliktebulunan tubo-ovarian apse, akut batın etyolojisindeçok nadir karşılaşılan bir durumdur. Acil polikliniğimizeşiddetli karın ağrısı nedeniyle başvuran hasta, endometriomakist rüptürü ve tubo-ovarian apse tanısıile yatırılarak intravenöz antibiyotik tedavisi başlandı.Şikayetleri devam eden hastaya laparoskopi yapıldı.Akut batın tablosuyla gelen kadınlarda hangi yaş grubundaolursa olsun ayırıcı tanılar arasında mutlakatubo-ovarian apse bulunmalı ve hızlı bir şekilde tanıkonularak tedavi yapılmalıdır. Aksi takdirde, morbiditeve mortalite oranları hızlı bir şekilde artar.

TUBO-OVARIAN ABSCESS AFTER RUPTURED ENDOMETRIOMA; A RARE CASE REPORT IN VIRGIN WOMEN AND LITERATURE REVIEW

Tubo-ovarian abscess associated with endometrioma cyst rupture is a very rare condition in the etiology of acute abdomen in virgin women. The patient was admitted to our emergency clinic with severe abdominal pain. She was hospitalized with endometrioma cyst rupture and tubo-ovarian abscess and intravenous antibiotic treatment was administed. Because of persistent abdominal pain and fever, laparoscopy was performed. Tubo-ovarian abscesses should be included in the differential diagnosis of women with acute abdominal pain, regardless of age, and should be diagnosed and treated rapidly. Otherwise, mortality and morbidity rates increase rapidly.

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