Tubo-ovarian abscesses are collections of pus in the fallopian tubes or ovaries that can develop from pelvic infections. They require prompt diagnosis and treatment with intravenous antibiotics and sometimes surgery. The article reviews the diagnosis and management of tubo-ovarian abscesses, noting that ultrasound is useful for diagnosis but CT scan may be needed for complex cases, and that treatment involves IV antibiotics with surgery sometimes needed for drainage if the patient does not improve within 48 hours of starting antibiotics.
1. Diagnosis and management of tubo‐ovarian abscesses
The Obstetric & Gynaecologis, Volume: 20, Issue: 1, Pages: 11-19, First published: 28 January 2018, DOI: (10.1111/tog.12447)
Editor's Notes
Suggested approach to the management of a woman with a tubo‐ovarian abscess. CRP = C‐reactive protein; FBC = full blood count; HDU = high‐dependency unit; ITU = intensive care unit; IV = intravenous; SIRS = systemic inflammatory response syndrome; U&Es = urea and electrolytes.
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