PELVIC ABSCESS AND TUBO-OVARIAN MASS

Clinical Features

Essential features for diagnosis of this condition include the following:

  • History of STI or pelvic infection
  • Lower abdominal and pelvic pain
  • Nausea and vomiting
  • Tender adnexal mass
  • Fever and tachycardia
  • Rebound tenderness

Investigations

  • Haemogram, ESR
  • Urinalysis
  • Urea and electrolytes
  • Blood sugar
  • Group and cross-match
  • Ultrasound
  • Culdocentesis

Management

  • Give parenteral broad spectrum antibiotics ceftriaxone 1g BD IV + gentamycin
    80mg TDS IV, metronidazole 500mg TDS IV, for 3–7 days. Then change to
    oral medications.
  • Carry out appropriate surgery: Laparotomy and drainage/excision.
  • Initiate physiotherapy.