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Pelvic abscess information


Pelvic abscess
SpecialtyGeneral surgery
SymptomsHigh fever, pelvic mass, vaginal bleeding or discharge, lower abdominal pain[1]
ComplicationsSepsis, peritonitis, fistula[1][2]
CausesGynecological surgery, abdominal surgery, pelvic infection, appendicitis, inflammatory bowel disease[1]
Diagnostic methodBlood tests, urine pregnancy test, blood and exudate culture, vaginal wet mount, medical imaging[1]
Differential diagnosisEctopic pregnancy, PID, appendicitis, kidney stone, bowel obstruction, sepsis following miscarriage[1]
TreatmentAntibiotics, drainage, adequate hydration[1]
FrequencyUncommon[2]

Pelvic abscess is a collection of pus in the pelvis, typically occurring following lower abdominal surgical procedures, or as a complication of pelvic inflammatory disease (PID), appendicitis, or lower genital tract infections.[1] Signs and symptoms include a high fever, pelvic mass, vaginal bleeding or discharge, and lower abdominal pain.[1] It can lead to sepsis and death.[1]

Blood tests typically show a raised white cell count.[1] Other tests generally include urine pregnancy test, blood and exudate culture, and vaginal wet mount.[1] Ultrasound, CT-scan or MRI may be used to locate the abscess and assess its dimensions.[1] Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT.[3] Endoscopic ultrasound (EUS) is a minimally invasive alternative method.[3]

  1. ^ a b c d e f g h i j k l Khaliq, Khalida; Nama, Noor; Lopez, Richard A. (2022). "Pelvic Abscess". StatPearls. StatPearls Publishing. PMID 31424876.
  2. ^ a b Cite error: The named reference Tidy2021 was invoked but never defined (see the help page).
  3. ^ a b Cite error: The named reference Gress2022 was invoked but never defined (see the help page).

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