Hyun-Woong Cho1, Yu-Jin Koo1, Kyung-Jin Min1, Jin-Hwa Hong1, Jae-Kwan Lee2. 1. Department of Obstetrics and Gynecology, Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea. 2. Department of Obstetrics and Gynecology, Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address: jklee38@korea.ac.kr.
Abstract
STUDY OBJECTIVE: To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. DESIGN: Retrospective chart review and literature review. SETTING: Tertiary academic center. PARTICIPANTS: Virgin women who were confirmed to have PID via surgery from 2002 to 2014. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. RESULTS: Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1%). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. CONCLUSION: PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.
STUDY OBJECTIVE: To evaluate the incidence of pelvic inflammatory disease (PID) in virgin women and investigate the clinical characteristics of the patients. DESIGN: Retrospective chart review and literature review. SETTING: Tertiary academic center. PARTICIPANTS: Virgin women who were confirmed to have PID via surgery from 2002 to 2014. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The evaluation of medicosurgical history, clinical progress, surgical record, and pathologic reports. RESULTS: Of 122 patients diagnosed with PID via surgery, 5 women were virgins (4.1%). The median age was 21 years (range, 14-24 years), and all patients presented with abdominal pain. The median diameter of the pelvic abscess pocket on preoperative imaging was 4.5 cm (range, 2.6-15 cm). Only 1 case was preoperatively diagnosed as a tubo-ovarian abscess; the others were expected to be benign ovarian tumors, such as endometrioma and dermoid cysts. No possible source of infection was identified for any patient, except 1 who had a history of an appendectomy because of a ruptured appendix. The results of the histopathological analysis of the excisional biopsy performed during surgery in 4 cases were consistent with acute suppurative inflammation. After postoperative antibiotic use, the conditions of all patients stabilized, and they were discharged from the hospital on median postoperative day 9. CONCLUSION: PID in virgin women is rare, but it should be considered in all women with abdominal pain, regardless of sexual history.
Authors: Concepción Carratalá-Munuera; Jessica Del Rocio Pilco; Domingo Orozco-Beltrán; Antonio Compañ; Jose A Quesada; Rauf Nouni-García; Vicente F Gil-Guillén; Luis García-Ortíz; Adriana López-Pineda Journal: Int J Environ Res Public Health Date: 2021-12-02 Impact factor: 3.390