Hydronephrosis Due to Bilateral Tubo-ovarian Abscess

Area of Science:

• Gynecology
• Radiology
• Infectious Disease

Background:

• Tubo-ovarian abscess (TOA) is a serious gynecological infection.
• Early diagnosis and intervention are crucial to prevent complications.

Purpose of the Study:

• To report a case of a large TOA causing significant hydronephrosis.
• To highlight the importance of prompt diagnosis and management.

Main Methods:

• A 27-year-old female presented with symptoms suggestive of infection.
• Computed tomography (CT) scan was used for diagnosis.
• Medical management with antibiotics was initiated.

Main Results:

• CT revealed a large left TOA compressing the left ureter.
• Moderate left hydronephrosis was observed.
• The patient received meropenem and was admitted for care.

Conclusions:

• Large TOAs can cause significant urinary tract obstruction.
• CT imaging is vital for diagnosing TOA and its complications.
• Timely antibiotic therapy and surgical consultation are essential for managing TOA.