Ovarian abscess

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Ovarian abscess(abscessus ovarii). In most cases, it occurs as a result of purulent inflammation of the fallopian tubes, most often during the period of rupture of the follicle or corpus luteum.

at firstabscess dimensionsinsignificant, but at the same time there are reactive changes from the surrounding organs and the peritoneum, resulting in a conglomerate, which, in addition to the ovary, may include a tube, a corner of the uterus, and even the omentum and adjacent gut areas.
With an increase in inflammation, an abscess occurs, which merges with similar abscesses and sometimes reaches a large size. Ovarian abscesses are predominantly unilateral.
In cases of virulent infection and weakening of the body, the abscess extends deep into the ovary, which is a purulent bag, and as the process progresses in the ovary and tube, the septum separates them, causing both purulent cavities to merge, forming a tubo-ovarian abscess, sometimes reaching considerable sizes. In most cases, acute inflammation becomes chronic - oophoritis.
CLINIC. Characteristically acute beginning.Suddenly the temperature rises to 39-40 C, chills appear, profuse sweat, first sharp, then pulsating pain in the lower abdomen, and often - a delay in stool and urination disturbance, and general intoxication progresses.
Very characteristic leukocytosis (20 • 109/ l) with a shift of the leukocyte formula to the left, increased ESR; possible anemia. Due to the small-cystic degeneration of the ovaries caused by oophoritis, their activity is impaired, which negatively affects not only the menstrual function (often the hypomenstrual syndrome, sometimes hyperpolymenorrhea), but also the childbearing.

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