Comparison of severe pelvic inflammatory disease, pyosalpinx and tubo‐ovarian abscess. Issue 5 (3rd November 2014)

• Record Type: Journal Article
• Authors: Kim, Ho Yeon; Yang, Jeong In; Moon, ChongSoo
• Is Part Of: Journal of obstetrics and gynaecology research. Volume 41:Issue 5(2015:May)
• Page Start: 742
• Page End: 746
• Publication Date: 2014-11-03
• Subjects: Gynecology -- Periodicals; Obstetrics -- Periodicals; 618.1005
• DOI: 10.1111/jog.12617
• Languages: English
• ISSNs: 1341-8076

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jog12617-sec-0001" sec-type="section"> <title>Aim</title> <p>Inflammation of the upper genital tract causes pelvic inflammatory disease (PID), which may be complicated by pelvic abscesses, such as pyosalpinx and tubo‐ovarian abscess (TOA). This study aimed to determine the clinical differences between pyosalpinx and TOA in patients with PID.</p> </sec> <sec id="jog12617-sec-0002" sec-type="section"> <title>Material and Methods</title> <p>We retrospectively evaluated 458 female patients who were admitted to Hallym University Kang Dong Sacred Heart Hospital for a clinical diagnosis of PID from 1 January 2007 to 30 April 2012. Sociodemographic, clinical and laboratory data were compared among the non‐abscess, pyosalpinx, and TOA groups.</p> </sec> <sec id="jog12617-sec-0003" sec-type="section"> <title>Results</title> <p>We identified 110 patients (24%) diagnosed with pelvic abscess associated with PID, including 34 with pyosalpinx and 76 with TOA. The pyosalpinx group had shorter hospital stays (<italic>P</italic> = 0.007), lower C‐reactive protein levels (<italic>P</italic> = 0.015), smaller mass sizes (<italic>P</italic> < 0.001), and fewer surgical interventions (<italic>P</italic> < 0.001) than the TOA group.</p> </sec> <sec id="jog12617-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Pyosalpinx is a less severe form of PID that leads to shorter hospital stays and more favorable outcomes than TOA.</p> </sec> </abstract>