Case Report


Tubo-ovarian abscess in a virgin pediatric patient

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1 School of Medicine, Loma Linda University, Loma Linda, CA, USA

2 Division of Pediatric Surgery, Loma Linda University Children′s Hospital, 11175 Campus Street, Room 21111, Loma Linda, CA, USA

3 Division of Obstetrics & Gynecology, Loma Linda University Medical Center, Loma Linda, CA, USA

Address correspondence to:

Andrei Radulescu

MD, PhD, FACS, Loma Linda University Medical Center, 11175 Campus Street, CP 21111, Loma Linda, CA 92350,

USA

Message to Corresponding Author


Article ID: 100067Z08LB2020

doi: 10.5348/100067Z08LB2020CR

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How to cite this article

Bathan L, Mendez YS, Sacks MA, Goodman L, Salcedo A, Hosseinifar N, Tagge E, Khan F, Radulescu A. Tubo-ovarian abscess in a virgin pediatric patient. J Case Rep Images Obstet Gynecol 2020;6:100067Z08LB2020.

ABSTRACT


Introduction: Tubo-ovarian abscesses are rarely seen in non-sexually active patients, particularly because they lack the greatest risk factor: multiple sexual partners, avoiding genital tract infections, and subsequent tubo-ovarian abscesses.

Case Report: We present the case of a non-sexually active 15-year-old female, with a medical history of obesity, asthma, and diabetes, who presented to the Emergency Department (ED) with acute abdominal pain. Imaging studies (abdominal ultrasound (US) and computed tomography (CT)) suggested right ovarian torsion and she was taken urgently to the operating room for laparoscopic exploration. She did not have an ovarian torsion, but instead, a large right tubo-ovarian abscess and underwent surgical drainage.

Conclusion: This unique case presents a tubo-ovarian abscess in a virgin pediatric patient causing her abdominal pain.

Keywords: Abdominal pain, Pediatric, Tubo-ovarian abscess, Virgin

SUPPORTING INFORMATION


Author Contributions

Lauren Bathan - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Yomara S Mendez - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Marla A Sacks - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Laura Goodman - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Andrea Salcedo - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Negar Hossinifar - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Edward Tagge - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Faraz Khan - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Andrei Radulescu - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Lauren Bathan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.