Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review

Hyun Woong Cho, Yu Jin Koo, Kyung Jin Min, Jin-Hwa Hong, Jae Kwan Lee

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Study Objective To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. Design Retrospective chart review and literature review. Setting Tertiary academic center. Participants Virgin women who were confirmed to have PID via surgery from 2002 to 2014. Interventions None. Main Outcome Measures The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. Results Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1%). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. Conclusion PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.

Original languageEnglish
Pages (from-to)203-208
Number of pages6
JournalJournal of Pediatric and Adolescent Gynecology
Volume30
Issue number2
DOIs
Publication statusPublished - 2017 Apr 1

Fingerprint

Pelvic Inflammatory Disease
Abscess
Abdominal Pain
Dermoid Cyst
Appendectomy
Endometriosis
History
Outcome Assessment (Health Care)
Anti-Bacterial Agents
Inflammation
Biopsy
Incidence
Infection
Neoplasms

Keywords

  • Nonsexually active
  • Pelvic inflammatory disease
  • Tubo-ovarian abscess
  • Virgin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

Cite this

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title = "Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review",
abstract = "Study Objective To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. Design Retrospective chart review and literature review. Setting Tertiary academic center. Participants Virgin women who were confirmed to have PID via surgery from 2002 to 2014. Interventions None. Main Outcome Measures The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. Results Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1{\%}). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. Conclusion PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.",
keywords = "Nonsexually active, Pelvic inflammatory disease, Tubo-ovarian abscess, Virgin",
author = "Cho, {Hyun Woong} and Koo, {Yu Jin} and Min, {Kyung Jin} and Jin-Hwa Hong and Lee, {Jae Kwan}",
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AU - Cho, Hyun Woong

AU - Koo, Yu Jin

AU - Min, Kyung Jin

AU - Hong, Jin-Hwa

AU - Lee, Jae Kwan

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N2 - Study Objective To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. Design Retrospective chart review and literature review. Setting Tertiary academic center. Participants Virgin women who were confirmed to have PID via surgery from 2002 to 2014. Interventions None. Main Outcome Measures The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. Results Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1%). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. Conclusion PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.

AB - Study Objective To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. Design Retrospective chart review and literature review. Setting Tertiary academic center. Participants Virgin women who were confirmed to have PID via surgery from 2002 to 2014. Interventions None. Main Outcome Measures The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. Results Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1%). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. Conclusion PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.

KW - Nonsexually active

KW - Pelvic inflammatory disease

KW - Tubo-ovarian abscess

KW - Virgin

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