alexa Ultrasound Management of a Case of Tubo-Ovarian Abscess (TOA) Associated with a Pregnancy of 10 Weeks Gestation
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Case Report

Ultrasound Management of a Case of Tubo-Ovarian Abscess (TOA) Associated with a Pregnancy of 10 Weeks Gestation

Kouamé N1*, N’Goan Domoua-AM1, N’Guessan KE2, Konan AN1, Sétchéou A1, Tra Bi-O1, N’gbesso RD1 and Keita K1
1Department of Radiology, Teaching Hospital of Yopougon, 21 BP 632 Abidjan 21, Abidjan-Côte d’Ivoire, Ivory Coast
2Department of Obstetrics and Gynecology Teaching Hospital of Treichville, BP V3 Abidjan-Cote d’Ivoire, Ivory Coast
Corresponding Author : Dr. Kouamé N’goran
Department of Radiology
Teaching Hospital of Yopougon, 21 BP 632 Abidjan 21
Abidjan-Côte d’Ivoire, Ivory Coast
Tel: +22505190002
E-mail: [email protected]
Received May 02, 2013; Accepted May 27, 2013; Published May 29, 2013
Citation: Kouamé N, N'Goan Domoua-AM, N'Guessan KE, Konan AN, Sétchéou A, et al. (2013) Ultrasound Management of a Case of Tubo-Ovarian Abscess (TOA) Associated with a Pregnancy of 10 Weeks Gestation. J Med Diagn Meth 2:113. doi:10.4172/2168-9784.1000113
Copyright: © 2013 Kouamé N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

In order to demonstrate the usefulness of the interventional ultrasound in the management of Tubo-Ovarian Abscess (TOA) associated with pregnancy, we report the case of a 29 year-old young woman, with no particular history in which was diagnosed a large left TOA in the context of a pregnancy of 10 weeks gestation. The therapeutic Puncture under ultrasound guidance was performed in an ultrasound room by the radiologist using the technique of “trocar”. The procedure was marked by the setting of an infusion containing antispasmodics prescribed by the gynecologist and a strict asepsis of the area of intervention. It permitted the discharge of 450 cm3 of frank pus. The patient was discharged on antibiotics and pain relief after a normal embryonic ultrasound. Control at 24 h and at one week showed no complications. She gave birth vaginally at term to a eutrophic newborn. We conclude that, interventional ultrasound in the management of TOA associated with pregnancy is safe and effective. It helps avoid major surgery which may have repercussions on the fetus.

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