Pelvic inflammatory disease presenting 16 months after vaginal hysterectomy: A case report and literature review
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- dc.contributor.author Cabello-Garcia, Eloy
- dc.contributor.author Ferriols Pérez, Elena
- dc.contributor.author Urpí-Tosar, Berta
- dc.contributor.author González-Comadran, Mireia
- dc.date.accessioned 2022-01-10T11:49:27Z
- dc.date.available 2022-01-10T11:49:27Z
- dc.date.issued 2021
- dc.description.abstract Pelvic inflammatory disease after hysterectomy is rare and the underlying route of infection is highly heterogeneous. We report the case of a 52-year-old woman with a history of vaginal hysterectomy for uterine prolapse admitted to the emergency department with acute abdominal pain and fever. Vaginal discharge and pelvic tenderness were evident in the clinical examination. Ultrasound and computed tomography scans showed a cystic pelvic mass in contact with the vaginal cuff, suggesting the diagnosis of pelvic inflammatory disease. Laparoscopic examination revealed a bilateral tubo-ovarian abscess firmly attached and fistulized to the vaginal cuff, and after tubal removal and antibiotic coverage the patient had an optimal recovery. We performed a review of the case reports published on this subject, and concluded that pelvic inflammatory disease should not be excluded in patients with a history of hysterectomy when symptoms and findings are compatible.
- dc.format.mimetype application/pdf
- dc.identifier.citation Cabello-Garcia E, Ferriols-Pérez E, Urpí-Tosar B, González-Comadran M. Pelvic inflammatory disease presenting 16 months after vaginal hysterectomy: A case report and literature review. Case Rep Womens Health. 2021;31:e00335. DOI: 10.1016/j.crwh.2021.e00335
- dc.identifier.doi http://dx.doi.org/10.1016/j.crwh.2021.e00335
- dc.identifier.issn 2214-9112
- dc.identifier.uri http://hdl.handle.net/10230/52177
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Case Rep Womens Health. 2021;31:e00335
- dc.rights © 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Hysterectomy
- dc.subject.keyword Pelvic inflammatory disease
- dc.subject.keyword Tubo-ovarian abscess
- dc.title Pelvic inflammatory disease presenting 16 months after vaginal hysterectomy: A case report and literature review
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion