Acute kidney injury secondary to tubo-ovarian abscess: A case report

Abstract

Acute kidney injury secondary to tubo-ovarian abscess: A case report X. Yin1, Z.Y. Wang1, Y. Yao2;3;* 1Department of Gynecology, West China School of Public Health /No.4 West China Teaching Hospital, Sichuan University, Chengdu, Sichuan (P.R. China) 2Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan (P.R. China) 3Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu (P.R. China) Summary 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. Key words: Acute kidney injury; Oliguria; Pelvic inflammatory disease; Tubo-ovarian abscess; Urethral obstruction.