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Tubo-ovarian abscess

MedGen UID:
508243
•Concept ID:
C0041343
•
Disease or Syndrome
Synonyms: Tubo ovarian abscess; Tubo-Ovarian Abscess
SNOMED CT: Tubo ovarian abscess (58949002); Tubo-ovarian abscess (58949002)
 
HPO: HP:0034493

Definition

A tubo-ovarian abscess (TOA) is a complex infectious mass of the adnexa that forms as a sequela of pelvic inflammatory disease. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTubo-ovarian abscess

Professional guidelines

PubMed

Pelvic inflammatory disease: diagnosis and treatment in the emergency department.
Taira T, Broussard N, Bugg C
Emerg Med Pract 2022 Dec;24(12):1-24. Epub 2022 Dec 2 PMID: 36378827
Identification and Treatment of Acute Pelvic Inflammatory Disease and Associated Sequelae.
Frock-Welnak DN, Tam J
Obstet Gynecol Clin North Am 2022 Sep;49(3):551-579. doi: 10.1016/j.ogc.2022.02.019. PMID: 36122985
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention.
Curry A, Williams T, Penny ML
Am Fam Physician 2019 Sep 15;100(6):357-364. PMID: 31524362

Recent clinical studies

Etiology

High risk and low prevalence diseases: Tubo-ovarian abscess.
Bridwell RE, Koyfman A, Long B
Am J Emerg Med 2022 Jul;57:70-75. Epub 2022 Apr 27 doi: 10.1016/j.ajem.2022.04.026. PMID: 35525160
Pelvic inflammatory disease in pregnancy: a systematic review focusing on perinatal outcomes.
Marcinkowski KA, Mehta V, Mercier R, Berghella V
Am J Obstet Gynecol MFM 2022 Jul;4(4):100643. Epub 2022 Apr 8 doi: 10.1016/j.ajogmf.2022.100643. PMID: 35405372
Safety and efficacy of subcutaneous ianalumab (VAY736) in patients with primary Sjögren's syndrome: a randomised, double-blind, placebo-controlled, phase 2b dose-finding trial.
Bowman SJ, Fox R, Dörner T, Mariette X, Papas A, Grader-Beck T, Fisher BA, Barcelos F, De Vita S, Schulze-Koops H, Moots RJ, Junge G, Woznicki JN, Sopala MA, Luo WL, Hueber W
Lancet 2022 Jan 8;399(10320):161-171. Epub 2021 Nov 30 doi: 10.1016/S0140-6736(21)02251-0. PMID: 34861168
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention.
Curry A, Williams T, Penny ML
Am Fam Physician 2019 Sep 15;100(6):357-364. PMID: 31524362
Pelvic inflammatory disease.
Gradison M
Am Fam Physician 2012 Apr 15;85(8):791-6. PMID: 22534388

Diagnosis

Pelvic inflammatory disease: diagnosis and treatment in the emergency department.
Taira T, Broussard N, Bugg C
Emerg Med Pract 2022 Dec;24(12):1-24. Epub 2022 Dec 2 PMID: 36378827
Identification and Treatment of Acute Pelvic Inflammatory Disease and Associated Sequelae.
Frock-Welnak DN, Tam J
Obstet Gynecol Clin North Am 2022 Sep;49(3):551-579. doi: 10.1016/j.ogc.2022.02.019. PMID: 36122985
Pelvic inflammatory disease in pregnancy: a systematic review focusing on perinatal outcomes.
Marcinkowski KA, Mehta V, Mercier R, Berghella V
Am J Obstet Gynecol MFM 2022 Jul;4(4):100643. Epub 2022 Apr 8 doi: 10.1016/j.ajogmf.2022.100643. PMID: 35405372
Xanthogranulomatous Salpingitis.
Chiesa-Vottero A
Int J Gynecol Pathol 2020 Sep;39(5):468-472. doi: 10.1097/PGP.0000000000000625. PMID: 31433377
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention.
Curry A, Williams T, Penny ML
Am Fam Physician 2019 Sep 15;100(6):357-364. PMID: 31524362

Therapy

Identification and Treatment of Acute Pelvic Inflammatory Disease and Associated Sequelae.
Frock-Welnak DN, Tam J
Obstet Gynecol Clin North Am 2022 Sep;49(3):551-579. doi: 10.1016/j.ogc.2022.02.019. PMID: 36122985
Safety and efficacy of subcutaneous ianalumab (VAY736) in patients with primary Sjögren's syndrome: a randomised, double-blind, placebo-controlled, phase 2b dose-finding trial.
Bowman SJ, Fox R, Dörner T, Mariette X, Papas A, Grader-Beck T, Fisher BA, Barcelos F, De Vita S, Schulze-Koops H, Moots RJ, Junge G, Woznicki JN, Sopala MA, Luo WL, Hueber W
Lancet 2022 Jan 8;399(10320):161-171. Epub 2021 Nov 30 doi: 10.1016/S0140-6736(21)02251-0. PMID: 34861168
Outcomes of Minimally Invasive Management of Tubo-ovarian Abscess: A Systematic Review.
Goje O, Markwei M, Kollikonda S, Chavan M, Soper DE
J Minim Invasive Gynecol 2021 Mar;28(3):556-564. Epub 2020 Sep 28 doi: 10.1016/j.jmig.2020.09.014. PMID: 32992023
Actinomycotic Endometritis.
Chiesa-Vottero AG
Int J Gynecol Pathol 2019 Mar;38(2):138-142. doi: 10.1097/PGP.0000000000000476. PMID: 29369919
Pelvic inflammatory disease.
Gradison M
Am Fam Physician 2012 Apr 15;85(8):791-6. PMID: 22534388

Prognosis

Tubo-ovarian abscess: A proposed new scoring system to guide clinical management.
Yongue G, Mollier J, Anin S, Ibeto L, Ross C, Ayim F, Guha S
Int J Gynaecol Obstet 2022 Jun;157(3):588-597. Epub 2021 Oct 12 doi: 10.1002/ijgo.13932. PMID: 34534362
The prediction of surgical intervention in patients with tubo-ovarian abscess.
Hwang JH, Kim BW, Kim SR, Kim JH
J Obstet Gynaecol 2022 Jan;42(1):97-102. Epub 2021 Feb 25 doi: 10.1080/01443615.2020.1867965. PMID: 33629630
Minimally invasive approach to the management of tubo-ovarian abscesses.
Hattiangadi R, McEntee K, Dahlman M
Curr Opin Obstet Gynecol 2021 Aug 1;33(4):249-254. doi: 10.1097/GCO.0000000000000720. PMID: 34155166
Can antibiotic treatment failure in tubo-ovarian abscess be predictable?
Akselim B, Karaşin SS, Demirci A, Üstünyurt E
Eur J Obstet Gynecol Reprod Biol 2021 Mar;258:253-257. Epub 2021 Jan 15 doi: 10.1016/j.ejogrb.2021.01.011. PMID: 33482459
Tubo-Ovarian Abscess in Non-Sexually Active Adolescent Girls: A Case Series and Literature Review.
Fei YF, Lawrence AE, McCracken KA
J Pediatr Adolesc Gynecol 2021 Jun;34(3):328-333. Epub 2020 Dec 16 doi: 10.1016/j.jpag.2020.12.002. PMID: 33340647

Clinical prediction guides

Safety and efficacy of subcutaneous ianalumab (VAY736) in patients with primary Sjögren's syndrome: a randomised, double-blind, placebo-controlled, phase 2b dose-finding trial.
Bowman SJ, Fox R, Dörner T, Mariette X, Papas A, Grader-Beck T, Fisher BA, Barcelos F, De Vita S, Schulze-Koops H, Moots RJ, Junge G, Woznicki JN, Sopala MA, Luo WL, Hueber W
Lancet 2022 Jan 8;399(10320):161-171. Epub 2021 Nov 30 doi: 10.1016/S0140-6736(21)02251-0. PMID: 34861168
Tubo-ovarian abscess: A proposed new scoring system to guide clinical management.
Yongue G, Mollier J, Anin S, Ibeto L, Ross C, Ayim F, Guha S
Int J Gynaecol Obstet 2022 Jun;157(3):588-597. Epub 2021 Oct 12 doi: 10.1002/ijgo.13932. PMID: 34534362
The prediction of surgical intervention in patients with tubo-ovarian abscess.
Hwang JH, Kim BW, Kim SR, Kim JH
J Obstet Gynaecol 2022 Jan;42(1):97-102. Epub 2021 Feb 25 doi: 10.1080/01443615.2020.1867965. PMID: 33629630
Minimally invasive approach to the management of tubo-ovarian abscesses.
Hattiangadi R, McEntee K, Dahlman M
Curr Opin Obstet Gynecol 2021 Aug 1;33(4):249-254. doi: 10.1097/GCO.0000000000000720. PMID: 34155166
Can antibiotic treatment failure in tubo-ovarian abscess be predictable?
Akselim B, Karaşin SS, Demirci A, Üstünyurt E
Eur J Obstet Gynecol Reprod Biol 2021 Mar;258:253-257. Epub 2021 Jan 15 doi: 10.1016/j.ejogrb.2021.01.011. PMID: 33482459

Recent systematic reviews

Risk factors for antibiotic therapy failure in women with tubo-ovarian abscess: A systematic review and meta-analysis.
Kinay T, Akay A, Aksoy M, Celik Balkan F, Engin Ustun Y
J Obstet Gynaecol Res 2024 Mar;50(3):298-312. Epub 2024 Jan 7 doi: 10.1111/jog.15870. PMID: 38184888
Pelvic inflammatory disease in pregnancy: a systematic review focusing on perinatal outcomes.
Marcinkowski KA, Mehta V, Mercier R, Berghella V
Am J Obstet Gynecol MFM 2022 Jul;4(4):100643. Epub 2022 Apr 8 doi: 10.1016/j.ajogmf.2022.100643. PMID: 35405372
Outcomes of Minimally Invasive Management of Tubo-ovarian Abscess: A Systematic Review.
Goje O, Markwei M, Kollikonda S, Chavan M, Soper DE
J Minim Invasive Gynecol 2021 Mar;28(3):556-564. Epub 2020 Sep 28 doi: 10.1016/j.jmig.2020.09.014. PMID: 32992023
Tubo-ovarian abscess in postmenopausal women: A systematic review.
Gil Y, Capmas P, Tulandi T
J Gynecol Obstet Hum Reprod 2020 Nov;49(9):101789. Epub 2020 May 13 doi: 10.1016/j.jogoh.2020.101789. PMID: 32413520
Human parasitic protozoan infection to infertility: a systematic review.
Shiadeh MN, Niyyati M, Fallahi S, Rostami A
Parasitol Res 2016 Feb;115(2):469-77. Epub 2015 Nov 16 doi: 10.1007/s00436-015-4827-y. PMID: 26573517

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