| A Case of Bilateral Tubo-Ovarian Abscesses
in a One-and-Half Year-Old Girl |
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Mun Hee Kim1, Young Kyoo Shin1, Baik Lin Eun1, Sun Han Kim2, Hai Joong Kim3, Sang Hoon Cha4, Young-Sik Kim5 |
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
2Department of General Surgery, College of Medicine, Korea University, Seoul, Korea
3Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea
4Department of Diagnostic Radiology, College of Medicine, Korea University, Seoul, Korea
5Department of Anatomical Pathology, College of Medicine, Korea University, Seoul, Korea |
| 소아의 난관-난소 농양 1례 |
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김문희1, 신영규1, 은백린1, 김선한2, 김해중3, 차상훈4, 김영식5 |
1고려대학교 의과대학 소아과학교실
2고려대학교 의과대학 일반외과학교실
3고려대학교 의과대학 산부인과학교실
4고려대학교 의과대학 방사선과학교실
5고려대학교 의과대학 해부병리학교실 |
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| Abstract |
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Tubo-ovarian abscess is an end-stage disease of acute pelvic inflammatory disease(PID). Since most cases of PID are caused by sexually transmitted microorganisms, this is very rare in children. Here, we report an 1¨o-year-old girl with bilateral tubo-ovarian abscesses. She was admitted to our department with chief complaints of fever, vomiting and diarrhea. Abdominal ultrasonography and CT scanning of the patient showed solid and cystic masses in pelvic cavity. It was very difficult to differentiate the lesions from abscess and tumor. In addition, intravenous pyelography(IVP) and abdominal CT scanning of the patient showed both hydronephrosis and ureteral dilatation. Because of severe visceral adhesions, we could not perform laparoscopic examination of the pelvic masses. By exploratory operation and frozen biopsy, the masses were confirmed as tubo-ovarian abscesses and they were drained. In the bacterial culture, K. pneumoniae and E. coli were grown. The patient was treated with sensitive antibiotics and recovered from her disease. After 4 weeks of operation, IVP showed no abnormal findings and voiding cystourethrography(VCUG) showed grade I vesicoureteral reflux of the left side. It was suggested the hydronephroses were developed by the ureteral obstruction of tubo-ovarian abscesses. |
| Key Words:
Tubo-ovarian abscess, Children |
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