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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (6): 983-987    DOI: 10.31083/j.ceog.2020.06.2101
Case Report Previous articles | Next articles
Septic shock caused by abscess formation inside cystic adenomyosis after responsive treatment of pelvic inflammatory disease
S.Y. Song1, †, G.W. Lee1, †, J.B. Yang1, D.E. Kim1, D.B. Park1, H.J. Yoo1, *()
1Chungnam National University School of Medicine, Daejeon, Republic of Korea
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Abstract  
Objective: To report on septic shock in a patient with an abscess inside cystic adenomyosis after responsive treatment of pelvic inflammatory disease. Case report: A 51-year-old woman with known cystic adenomyosis was admitted to the hospital due to fever and low abdominal pain. In suspicion of pelvic inflammatory disease, intravenous antibiotics were administered. As her symptoms and sings of inflammation improved, she was discharged from the hospital after five days. However, after completing 14 days of oral antibiotics, her symptoms aggravated with decreased blood pressure. Magnetic resonance imaging indicated abscess formation inside cystic adenomyosis, and total hysterectomy was performed. Postoperatively, she fell into shock condition. Intravenous antibiotics were administered for 11 days and she was discharged from the hospital with no adverse event. Conclusion: Physicians should be aware of the possibility of septic shock caused by abscess formation inside known cystic adenomyosis.
Key words:  Abscess      Adenomyosis      Pelvic inflammatory disease      Sepsis      Shock     
Submitted:  03 April 2020      Accepted:  01 June 2020      Published:  15 December 2020     
Fund: 
2017R1D1A1B03032588/Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education
*Corresponding Author(s):  HEON JONG YOO     E-mail:  bell4184@gmail.com
About author:  Contributed equally.

Cite this article: 

S.Y. Song, G.W. Lee, J.B. Yang, D.E. Kim, D.B. Park, H.J. Yoo. Septic shock caused by abscess formation inside cystic adenomyosis after responsive treatment of pelvic inflammatory disease. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(6): 983-987.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.06.2101     OR     https://ceog.imrpress.com/EN/Y2020/V47/I6/983

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