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  • Title: Ovarian abscess arising within an endometrioma.
    Author: Lipscomb GH, Ling FW, Photopulos GJ.
    Journal: Obstet Gynecol; 1991 Nov; 78(5 Pt 2):951-4. PubMed ID: 1923238.
    Abstract:
    Ovarian abscess is a rare gynecologic entity; only 120 cases have been reported in the world literature. In contrast to the more commonly encountered tubo-ovarian abscess, tubal involvement is absent in the ovarian abscess. This report describes a case of an ovarian abscess arising de novo within an endometrioma. The woman presented with a 20-cm pelvic-abdominal mass with paracaval adenopathy and bilateral ureteral obstruction. Treatment with broad-spectrum antibiotics was unsuccessful. The surgical specimen revealed endometrial glands, stroma, hemosiderin-laden macrophages, and evidence of abscess formation.
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