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ID 34934
file
creator
Kakizawa, Hideaki
Toyota, Naoyuki
Hieda, Masashi
Hirai, Nobuhiko
Tachikake, Toshihiro
Matsuura, Noriaki
Fujimura, Yoshio
Kodama, Ichiro
Hara, Tetsuaki
Ito, Katsuhide
subject
Abscess
CT
Percutaneous drainage
Gynecologic organs
NDC
Medical sciences
abstract
A 42-year-old woman with recurrent bilateral endometrial ovarian cystoma presented with fever and pelvic pain caused by a tubo-ovarian abscess (TOA), which was resistant to several varieties of intravenous and oral antibiotics for 2 weeks (Case 1). Computed tomography (CT)-guided diagnostic aspiration for a rapid enlarged right ovarian cystoma through a transabdominal route confirmed that it had developed into a TOA. Subsequent percutaneous abscess drainage (PAD) and irrigation for 3 days were successful. One-year follow-up revealed no recurrence of TOA. A 58-year-old woman with recurrent cervical cancer after external radiation therapy (RT) presented with fever, confusion and tremor caused by pyometra (Case 2). Since transvaginal drainage was impossible due to cervical os obstruction, the patient had undergone CT-guided transabdominal PAD and irrigation for a month. Thereafter, the clinical findings improved and a tracheloplasty was performed to prevent recurrence. CT-guided PAD may be a useful treatment option for gynecologic abscess as a diagnostic aspiration, a temporizing procedure until surgery, or an alternative surgery.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 55
issue
Issue 3
start page
97
end page
100
date of issued
2006-09
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
(c) Hiroshima University Medical Press.
department
University Medical Hospital
Graduate School of Biomedical Science
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