Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review
- Authors
- Cho, Hyun-Woong; Koo, Yu-Jin; Min, Kyung-Jin; Hong, Jin-Hwa; Lee, Jae-Kwan
- Issue Date
- Apr-2017
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Pelvic inflammatory disease; Virgin; Nonsexually active; Tubo-ovarian abscess
- Citation
- JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY, v.30, no.2, pp.203 - 208
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY
- Volume
- 30
- Number
- 2
- Start Page
- 203
- End Page
- 208
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/84054
- DOI
- 10.1016/j.jpag.2015.08.001
- ISSN
- 1083-3188
- 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.
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