Journal of pediatric and adolescent gynecology
-
J Pediatr Adolesc Gynecol · Aug 2013
Review Case ReportsTubo-ovarian abscess in virginal adolescent females: a case report and review of the literature.
A tubo-ovarian abscess (TOA) is a serious complication of pelvic inflammatory disease (PID), predominantly polymicrobial and present in sexually active women. TOA in virginal adolescent females are extremely rare but have serious and lifelong consequences. ⋯ Review of the literature identified 8 cases of TOA in virginal adolescents. Given the severity of outcomes following TOA, this pathology should be considered in the differential diagnosis of virginal adolescents who present with fever and abdominal pain. If suspected, a prompt gynecology consult should be initiated, followed by a first line antibiotic therapy and when indicated, surgical drainage.
-
J Pediatr Adolesc Gynecol · Aug 2013
Review Case ReportsManagement of isolated tubal torsion in a premenarchal adolescent female with prior oophoropexy: a case report and review of the literature.
Isolated tubal torsion in a premenarchal adolescent girl is a rare phenomenon. Preoperative diagnosis remains a challenge. ⋯ Clinicians should consider torsion of the fallopian tube in the differential diagnosis of lower abdominal pain in all female patients. Prompt laparoscopic intervention is essential. Oophoropexy, while usually efficacious, may not prevent recurrence.