Infected ectopic pregnancy presenting as unilateral tubo-ovarian abscess

Dov Dicker, Nurith Samuel, Dov Feldberg, Jack A. Goldman

Research output: Contribution to journalArticlepeer-review

Abstract

Ectopic pregnancy may be a dramatic occurrence, such as in the acutely ruptured extrauterine entity, or diagnosis may be delayed in the chronic ectopic gestation. Eight cases of infected ectopic pregnancy simulating tubo-ovarian abscess are reported; the diagnosis may be difficult and misleading. Symptoms and signs include abdominal pain and vaginal bleeding following a period of amenorrhea, usually accompanied by fever. All patients in our series presented with a picture of tubo-ovarian or pelvic abscess; however, the diagnosis of infected ectopic pregnancy was made preoperatively in all due to a positive β-hCG test. Surgery in our cases included unilateral salpingo-oophorectomy in 7, and salpingectomy in one. Attention was drawn to the fact that, in the case of unilateral tubo-ovarian abscess, infected ectopic pregnancy should be suspected whenever preoperative β-hCG is positive.

Original languageEnglish
Pages (from-to)237-245
Number of pages9
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume17
Issue number4
DOIs
StatePublished - Jun 1984

Keywords

  • infected ectopic pregnancy
  • pelvic inflammatory disease
  • tubo-ovarian abscess

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