Document Detail

Sensitivity of ultrasound for the diagnosis of tubo-ovarian abscess: a case report and literature review.
MedLine Citation:
PMID:  20466506     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Tubo-ovarian abscess is a serious complication of pelvic inflammatory disease, with a high associated morbidity. Although tubo-ovarian abscess is not a rare entity, its diagnosis presents multiple challenges. Prior literature has suggested that pelvic ultrasound is now the "gold standard" in the diagnosis of tubo-ovarian abscess.
OBJECTIVE: Given the increasing use of ultrasound in the emergency department, it is important to understand the diagnostic value of transvaginal ultrasound in ruling in and ruling out important gynecologic emergencies. Our objective is to review the literature to evaluate the sensitivity and specificity of ultrasound in the diagnosis of tubo-ovarian abscess.
CASE REPORT: We review a case of a 31-year-old woman with frank peritonitis caused by a tubo-ovarian abscess diagnosed by contrast-enhanced computed tomography after an initial negative transvaginal ultrasound.
CONCLUSION: We found evidence for lower sensitivity and specificity of ultrasound for the diagnosis of tubo-ovarian abscess than generally reported in the emergency medicine literature.
David C Lee; Anand K Swaminathan
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-05-13
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  40     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-07     Completed Date:  2011-06-08     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  170-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
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MeSH Terms
Abscess / ultrasonography*
Emergency Service, Hospital
Fallopian Tube Diseases / ultrasonography*
Ovarian Diseases / ultrasonography*
Sensitivity and Specificity
Comment In:
J Emerg Med. 2012 Jul;43(1):e71-2   [PMID:  22104259 ]

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