Acute kidney injury secondary to tubo-ovarian abscess is rare. Here, we present a case of acute kidney injury arising from urethral obstruction secondary to a tubo-ovarian abscess. A 49 year old woman with complaints of persistent fever and abdominal pain was transferred to our hospital. A transvaginal ultrasound revealed two large pelvic masses that were suspected of being bilateral tubo-ovarian abscesses. During broad spectrum parenteral antibiotic treatment, the patient reported oliguria. With no response to fluid resuscitation and renal replacement treatment, we performed a laparoscopic bilateral salpingo-oophorectomy to relieve the urethral obstruction. Surgical removal of the bilateral tubo-ovarian abscess was effective in this patient.
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Acute kidney injury secondary to tubo-ovarian abscess: A case report
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1
Department of Gynecology, West China School of Public Health /No.4 West China Teaching Hospital, Sichuan University, Chengdu, Sichuan, P.R. China
2
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, P.R. China
3
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, P.R. China
*Correspondence: gynyao@foxmail.com (YUAN YAO)
Clin. Exp. Obstet. Gynecol. 2020, 47(3), 421–423;
https://doi.org/10.31083/j.ceog.2020.03.5203
Submitted: 25 February 2019 | Accepted: 3 June 2019 | Published: 15 June 2020
Copyright: © 2020 Yin et al. Published by IMR press.
This is an open access article under the CC BY 4.0 license
https://creativecommons.org/licenses/by/4.0/.
Abstract
Keywords
Acute kidney injury
Oliguria
Pelvic inflammatory disease
Tubo-ovarian abscess
Urethral obstruction.