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Pelvic abscess in gynecologic patients.

P C Gini, W O Chukudebelu

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |June 1, 1981
    PubMed
    Summary

    Pelvic abscesses in obstetrics and gynecology patients require surgical treatment. A combination of metronidazole and antibiotics is recommended for effective management, even without lab confirmation of anaerobic bacteria.

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    Area of Science:

    • Obstetrics and Gynecology
    • Infectious Diseases
    • Surgical Treatment

    Background:

    • Pelvic abscesses are a significant complication in obstetrics and gynecology.
    • A review of 37 cases over an 8-year period was conducted at a Nigerian hospital.

    Purpose of the Study:

    • To analyze the incidence and outcomes of pelvic abscesses.
    • To recommend an effective treatment regimen for pelvic abscesses.

    Main Methods:

    • Retrospective survey of 37 surgically treated pelvic abscess cases.
    • Analysis of postoperative outcomes.

    Main Results:

    • 37 cases of pelvic abscess were identified and surgically treated.
    • One postoperative death occurred, indicating a 97.3% survival rate.
    • A treatment regimen of metronidazole (400 mg TID) plus antibiotics was effective.

    Conclusions:

    • Surgical intervention is crucial for managing pelvic abscesses.
    • Metronidazole combined with antibiotics is the recommended treatment, effective even without anaerobic confirmation.
    • This regimen offers a high survival rate for patients with pelvic abscess.

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