Article Text
Summary
A 45-year-old, G0P0 premenopausal woman was admitted for investigation of right lower quadrant pain, fever, leucocytosis and right adnexal abscess on CT. She was started on intravenous antibiotics and underwent CT-guided percutaneous drainage from which Bacteroides fragilis was cultured. A few days later, she had an exploratory laparotomy with incision and drainage. Once stabilised, she was discharged on intravenous antibiotics. She was followed outpatient and subsequent imaging demonstrated significant improvement of the abscess. After being asymptomatic for 3 months, she again presented to the emergency department with right lower quadrant abdominal pain, fever and leucocytosis. Two days later, she underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. She made a full recovery and began treatment with a herbal oestrogen derivative to prevent early menopause.
- infectious diseases
- obstetrics and gynaecology
- interventional radiology
- sexual health
- surgery
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Footnotes
JLF and JO’G contributed equally.
Contributors JLF participated in the planning, design, reporting, analysis, writing and revision of the manuscript. JO’G participated in the planning, design, reporting analysis and revision of the manuscript. JJ participated in the interpretation of data, analysis and revision of the manuscript. JO’G and JLF: contributed equally to this paper.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.