Pelvic endometriosis presenting as a Supralevator abscess

A 32-year-old woman presented with sepsis nine days after a transrectal incision and drainage of a recurrent supralevator abscess. The findings included a large mass arising from the pelvis containing multiple, leaking, and infected endometrial cysts. After a supracervical hysterectomy, bilateral sa...

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Bibliographic Details
Published inJournal of the National Medical Association Vol. 80; no. 8; pp. 931 - 933
Main Authors Anderson, B B, Tuckson, W B
Format Journal Article
LanguageEnglish
Published United States 01.08.1988
Subjects
Abscess - complications
Abscess - diagnostic imaging
Adult
Case Reports
Endometriosis - complications
Endometriosis - diagnostic imaging
Female
Humans
Pelvic Neoplasms - complications
Pelvic Neoplasms - diagnostic imaging
Pelvis - diagnostic imaging
Radiography
Recurrence
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Summary:A 32-year-old woman presented with sepsis nine days after a transrectal incision and drainage of a recurrent supralevator abscess. The findings included a large mass arising from the pelvis containing multiple, leaking, and infected endometrial cysts. After a supracervical hysterectomy, bilateral salpingo-oophorectomy, sigmoid loop colostomy, appendectomy, and extensive irrigation and debridement, her condition improved with no recurrence at two-year follow-up. This case illustrates the varied presentations of endometriosis, the importance of identifying the source of a perirectal or perianal abscess, and that when a supralevator abscess develops from an intraabdominal process, the process must be addressed to prevent recurrence, fistulization, or other complications.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0027-9684
1943-4693