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Ovarian abscess arising within an endometrioma
G H Lipscomb1, F W Ling, G J Photopulos
1Department of Obstetrics and Gynecology, University of Tennessee, Memphis.
Obstetrics and Gynecology
|November 1, 1991
Summary
Ovarian abscess, a rare gynecologic condition, can develop within an endometrioma. This case highlights a large ovarian abscess causing significant complications, unresponsive to antibiotics.
Area of Science:
- Gynecology
- Pathology
Background:
- Ovarian abscess is a rare gynecologic condition, distinct from tubo-ovarian abscess due to the absence of tubal involvement.
- This case presents a unique instance of an ovarian abscess originating within an endometrioma.
Observation:
- A patient presented with a large 20-cm pelvic-abdominal mass, paracaval adenopathy, and bilateral ureteral obstruction.
- Initial treatment with broad-spectrum antibiotics proved ineffective.
Findings:
- Histopathological examination of the surgical specimen confirmed an ovarian abscess.
- Microscopic findings included endometrial glands, stroma, and hemosiderin-laden macrophages, indicative of an abscess within an endometrioma.
Implications:
- This case expands the understanding of ovarian abscess etiology, particularly its association with endometriosis.
- It underscores the importance of considering complex gynecologic infections in the differential diagnosis of large pelvic masses with obstructive uropathy.