Chronic Unruptured Primary Ovarian Abscess: A Case Report
[1]
Solomon K. Gumanga, Department of Obstetrics & Gynaecology, School of Medicine and Health Sciences, University for Development Studies, Tamale Teaching Hospital, Tamale, Ghana.
[2]
David Z. Kolbila, Department of Obstetrics & Gynaecology, School of Medicine and Health Sciences, University for Development Studies, Tamale Teaching Hospital, Tamale, Ghana.
This paper reports a case of primary ovarian abscess that was incidentally found at laparotomy in 2010. Clinical examination and ultrasound scan investigations usually have limitations in making the diagnosis, additional radiological investigations such as MRI can improve details but the final diagnosis may only be known at laparotomy. Diagnosing primary ovarian abscess presents with some difficulty because it is not a common ovarian pathological entity. The clinical signs and symptoms are non-specific and there are limitations in excluding tubal involvement with investigations usually performed before laparotomy. In this case report, the final diagnosis of primary ovarian abscess was only known at laparotomy. Microscopy of the purulent exudate showed presence of pus cells, numerous neutrophils and lymphocytes. The culture however was negative for microorganisms after 48hours. This unusual ovarian pathological entity was surgically managed successfully. Conclusion: Primary ovarian abscess may be incidentally found at laparotomy indicated for a more common ovarian pathology. Surgical management of a large unruptured primary ovarian abscess is associated with good prognosis.
Ovarian Abscess, Primary Ovarian Abscess, Tubo-Ovarian Abscess
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