PMID- 27381446
OWN - NLM
STAT- MEDLINE
DCOM- 20170515
LR  - 20170515
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 135
IP  - 1
DP  - 2016 Oct
TI  - The value of ultrasonographic tubo-ovarian abscess morphology in predicting
      whether patients will require surgical treatment.
PG  - 77-81
LID - 10.1016/j.ijgo.2016.04.006 [doi]
LID - S0020-7292(16)30204-1 [pii]
AB  - OBJECTIVE: To determine if the ultrasonographic morphology of a tubo-ovarian
      abscess (TOA) could be used to predict if a patient will require surgical
      treatment. METHOD: A retrospective cohort study reviewed medical records from
      patients diagnosed with TOA via ultrasonography between January 2009 and January 
      2014 at a tertiary referral center in Turkey. Patients with pelvic inflammatory
      disease and an inflammatory adnexal mass, identified during sonographic
      examination, were included in the study. Ultrasonographic morphology, demographic
      characteristics, and clinical and laboratory findings were compared between
      patients who required surgical treatment and those who did not. RESULTS: Records 
      were included from 164 patients; medical therapy was successful in 121 (73.8%)
      patients and 43 (26.2%) required surgical treatment. TOA morphology was
      identified, using ultrasonography, as unilocular cystic, complex multicystic
      mass, or pyosalpinx in 56 (34.1%), 73 (44.5%), and 35 (21.3%) patients,
      respectively. No correlation was present between ultrasonographic TOA morphology 
      and patients requiring surgical treatment (all P>0.05). Multivariate analyses
      demonstrated that an abscess larger than 6.5 cm in size (P=0.027), fever at
      admission (P<0.001), and parity greater than two (P=0.026) were independent
      predictors of patients requiring surgical treatment for TOA. CONCLUSION: Although
      increased TOA size, fever at admission, and parity were associated with increased
      odds of patients with TOA requiring surgical treatment, ultrasonographic TOA
      morphology was not.
CI  - Copyright (c) 2016 International Federation of Gynecology and Obstetrics.
      Published by Elsevier Ireland Ltd. All rights reserved.
FAU - Kinay, Tugba
AU  - Kinay T
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey. Electronic address:
      tkinay@hotmail.com.
FAU - Unlubilgin, Eylem
AU  - Unlubilgin E
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey.
FAU - Cirik, Derya A
AU  - Cirik DA
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey.
FAU - Kayikcioglu, Fulya
AU  - Kayikcioglu F
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey.
FAU - Akgul, Mehmet A
AU  - Akgul MA
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey.
FAU - Dolen, Ismail
AU  - Dolen I
AD  - Etlik Zubeyde Hanim Women's Health Training and Research Hospital, Department of 
      Obstetrics and Gynecology, Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20160617
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Abscess/*diagnostic imaging/therapy
MH  - Adult
MH  - Fallopian Tube Diseases/*diagnostic imaging/therapy
MH  - Female
MH  - Fever/epidemiology
MH  - *Gynecologic Surgical Procedures
MH  - Hospitalization
MH  - Humans
MH  - Logistic Models
MH  - Medical Records
MH  - Middle Aged
MH  - Ovarian Diseases/*diagnostic imaging/therapy
MH  - Pelvic Inflammatory Disease/*complications
MH  - Retrospective Studies
MH  - Tertiary Care Centers
MH  - Turkey
MH  - Ultrasonography
OTO - NOTNLM
OT  - Morphology
OT  - Surgery
OT  - Tubo-ovarian abscess
OT  - Ultrasonography
EDAT- 2016/07/07 06:00
MHDA- 2017/05/16 06:00
CRDT- 2016/07/07 06:00
PHST- 2016/01/07 00:00 [received]
PHST- 2016/03/29 00:00 [revised]
PHST- 2016/06/08 00:00 [accepted]
PHST- 2016/07/07 06:00 [entrez]
PHST- 2016/07/07 06:00 [pubmed]
PHST- 2017/05/16 06:00 [medline]
AID - S0020-7292(16)30204-1 [pii]
AID - 10.1016/j.ijgo.2016.04.006 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2016 Oct;135(1):77-81. doi: 10.1016/j.ijgo.2016.04.006.
      Epub 2016 Jun 17.