A case-report on diverticulitis misdiagnosed as tubo-ovarian abscess

Seyyedeh Neda Kazemi; Masoomeh Raoufi; Majid Samsami; Hamidreza Didar; Haniye Najafiarab

doi:10.1016/j.amsu.2021.103049

A case-report on diverticulitis misdiagnosed as tubo-ovarian abscess

Ann Med Surg (Lond). 2021 Nov 10:72:103049. doi: 10.1016/j.amsu.2021.103049. eCollection 2021 Dec.

Authors

Seyyedeh Neda Kazemi^{1

2}, Masoomeh Raoufi³, Majid Samsami⁴, Hamidreza Didar⁵, Haniye Najafiarab⁵

Affiliations

¹ Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
² Department of Obstetrics and Gynecology, Endocrinology and Female Infertility Unit, Tehran University of Medical Sciences, Tehran, Iran.
³ Department of Radiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁴ Department of General Surgery, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁵ Student of Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Introduction and importance: Tubo-ovarian abscesses (TOA) is presented with multiple clinical manifestations including gastrointestinal findings.

Case presentation: Herein, we present a case of complicated diverticulitis that was misdiagnosed as TOA, owing to overlapping genital involvement.

Clinical discussion: Imaging could be misleading in these patients as a result of severe inflammation of intestines and surrounding organs.

Conclusion: Patients who do not respond to antibiotic treatment should be suspected of other gastrointestinal pathologies such as diverticulitis and should be evaluated accordingly.

Keywords: Antibiotic; CT, computed tomography; Diverticulitis; Gastrointestinal; Genital; PID, Pelvic inflammatory disease; TOA; TOA, Tubo-ovarian abscesses.

Publication types

Case Reports