Postmenopausal Tubo-Ovarian Abscess with Air in the Ovarian Vein

停經後輸卵管卵巢膿腫併有卵巢靜脈空氣

楊家融(Chia-Jung Yang) ； 彭國權(Kwok-Kuen Pang) ； 顏郁珊(Yu-Shan Yen) ； 江瑞安(Ruey-An Chiang)

《Journal of Radiological Science》 37卷1期 (2012/03) Pp. 35-38+55

https://doi.org/10.6698/JRS.201203_3701.06

摘要

輸卵管卵巢膿腫常被認為出現於生殖年齡的女性、是骨盆腔炎症晚期的併發症、和性行為高度相關。然而，輸卵管卵巢膿腫也可以發生於停經後的女性，且和生殖泌尿系統的癌症、糖尿病、及子宮內避孕器有關。卵巢靜脈空氣在輸卵管卵巢膿腫中為一罕見的電腦斷層表現。我們提出一位81歲女性的案例，她的輸卵管卵巢膿腫源於放線菌及大腸桿菌，但患者並沒有生殖泌尿系統的癌症、糖尿病、及子宮內避孕器的相關病史。我們也提出非常特別的電腦斷層影像發現：輸卵管卵巢膿腫併有氣液界面，壁內空氣、及卵巢靜脈空氣。

並列摘要

Tubo-ovarian abscess (TOA) is usually recognized as a complication of pelvic inflammatory disease and highly associated with sexual activities in reproductive age group. However, even rare, TOA can be presented in a woman with genitourinary malignancy, diabetes mellitus, and usage of intrauterine device (IUD) in postmenopausal age group. Air in ovarian vein is a rare CT finding of TOA. We present the case of an 81-year-old woman with TOA from actinomycosis and E. coli, which was not associated with history of malignancy, diabetes mellitus and usage of IUD. The uncommon CT findings such as air-fluid level, intramural air, and air in the ovarian vein are also presented.