Volume 7, Issue 1 (7-2009)                   IJRM 2009, 7(1): 41-0 | Back to browse issues page

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Moradan S. A ruptured tubo-ovarian abscess after intrauterine insemination; a case report. IJRM 2009; 7 (1) :41-0
URL: http://ijrm.ssu.ac.ir/article-1-132-en.html
Department of Obstetrics and Gynecology, Amir University Hospital, Semnan University of Medical Sciences, Semnan, Iran , SM42595@yahoo.com
Abstract:   (1771 Views)
Background: Pelvic inflammatory disease is one of the most serious infection and one of the important and life threatening complications of it is tubo-ovarian abscess. This infection with intrauterine insemination (IUI) is rare. We report a case of ruptured tubo- ovarian abscess after (IUI).
Case: A 27 years old woman was referred to our center with acute abdominal pain and fever one week after IUI. The diagnosis was PID and after treatment with intravenous antibiotics she was still febrile after 3days and had generalized tenderness in abdominal exam. Therefore, laparatomy was performed and left fallopian tube ruptured abscess was detected. Left salpingectomy was done. The patient developed dyspnea and tachypnea in second day post operation and echocardiography with spiral CT scan was normal. So a mild ARDS was considered .The patient was discharged from hospital 5 days after operation in good condition.
Conclusion: This is a case of PID, tubal abscess and ARDS after IUI and it is necessary to keep in mind this diagnosis after IUI.
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Type of Study: Original Article |

1. Rock JA, Jones HW. Pelvic inflammatory disease. Telind,s Operative Gynecology (9th edition), Lippincot Williams and Wilkins 2003; 675-689.
2. Banikarim C, Chacko MR. Pelvic inflammatory disease in adolescents. Seminar in pediatr infected disease 2005 ; 16: 175-180 [DOI:10.1053/j.spid.2005.04.006]
3. Martinez F, Lopez-Arrequi E. Infection risk and intrauterine device. Acta Obstet Gynecol Scand 2009; 26: 1-5 [DOI:10.1080/00016340802707473]
4. Washington E, Sweet RL, Shafer MA. Pelvic inflammatory disease and its squeals in adolescents. J of adole health care 1985; 6: 298-310 [DOI:10.1016/S0197-0070(85)80067-X]
5. Lareau SM, Beigi RH. Pelvic inflammatory disease and tubo-ovarian abscess. Infect Dis Clin North Am 2008; 22: 693-708. [DOI:10.1016/j.idc.2008.05.008]
6. Berek JS, Rinehart RD, Adamas Hillard PJ, Adashi EY. Pelvic pain and dysmenorrhea. Novak's Gynecology (13th edition), Lippincot Williams and Wilkins 2002; 426-428.
7. Speroff L, Glass RH, Kase NG. Male infertility. Clinical Gynecologic endocrinology and infertility (6th edition), Lippincott Williams and Wilkins 1999; 1090.
8. Steen R, Shapiro K, Standard of care in high STI prevalence settings. Reprod Health Matters 2004; 12: 136-143 [DOI:10.1016/S0968-8080(04)23123-8]
9. Mardh PA. Influence of infection with chlamydial trachomatis on pregnancy outcome, infant health and life - long squeals in infected offspring. Best Practice and Research Clinical Obs and Gynecol 2002; 16: 847-864 [DOI:10.1053/beog.2002.0329]
10. Haggerty CL, Ness RB. Epidemiology pathogenesis and treatment of pelvic inflammatory disease. Expert Rev Anti Infect Ther 2006; 4: 235-247. [DOI:10.1586/14787210.4.2.235]
11. Haggerty CL, Ness RB. Diagnosis and treatment of pelvic inflammatory disease. Womens Health (Lond Engl) 2008; 4: 383-397. [DOI:10.2217/17455057.4.4.383]
12. Sweet RL .The enigmatic cervix. Dermato Clinics 1998; 16: 739-745 [DOI:10.1016/S0733-8635(05)70040-1]
13. Adhikari S, Blaviras M, Lyon M. Role of beside transvaginal ultrasonography in the diagnosis of tubo-ovarian abscess. J Emerg Med 2008; 34: 429-433. [DOI:10.1016/j.jemermed.2007.05.057]

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