Enterobius vermicularis infections, though uncommon in normally sterile upper genital tract of females, are rare but cause significant morbidity.7,9-11 Since ectopic infections with pinworms are relatively uncommon, the clinical suspicion is also low in cases where patient presents with signs and symptoms of a tubo-ovarian abscess
or pelvic inflammatory disease.
Signs and symptoms may be suggestive for acute appendicitis, urinary tract infection, pyelonephritis, adnexal torsion, puerperal endometritis, and tubo-ovarian abscess
. These conditions should be included into differential diagnosis .
(5) Other studies demonstrated a trend toward more tubo-ovarian abscesses
, which often require surgical intervention in HIV-infected women with pelvic inflammatory disease.
Unilateral tubo-ovarian abscess
and intrauterine contraceptive device.
Sequelae of PID * ectopic pregnancy * infertility * chronic pelvic pain * dyspareunia * pelvic adhesions * recurrent PID * tubo-ovarian abscess
Nezhat cautions against the practice of indiscriminate IVF in the setting of ovarian endometriomas because he has seen patients who developed tubo-ovarian abscess
and infected endometriomas after transvaginal egg retrieval.
A complex adnexal mass may be seen on ultrasound and CT with a differential diagnosis of tubo-ovarian abscess
or ovarian carcinoma.
Imaging showed no evidence of chlamydia-associated complications, such as pelvic inflammatory disease or tubo-ovarian abscess
, both of which are uncommon in pregnancy.
a patient has tubo-ovarian abscess
or a weakened immune system
of cases Percentage (n=8) Cystectomy 3 37.5% Oophorectomy 2 25% Salpingo-oophorectomy 3 37.5% Table 5: Differential diagnosis of an adnexal mass in pregnancy Varian Non ovarian Benign Ectopic pregnancy Functional cysts Paraovarian cyst Follicular cysts Leiomyoma Corpus luteum cysts Hydrosalpinx Theca-lutein cysts Tubo-ovarian abscess
Luteomas Peritoneal inclusion cyst Hemorrhagic cysts Diverticular abscess Benign cystic teratomas Appendiceal abscess or tumor Serous cystadenomas Fallopian tube cancer Mucinous cystadenomas Pelvic kidney Endometriomas Lymphoma Malignant Epithelial Germ cell Sex cord/stromal Granulosa cell Metastatic Pseudomyxoma peritonei