30 October 2024
: Case report 
Ruptured Appendiceal Diverticulum Leading to Tubo-Ovarian Abscess in a Non-Sexually Active Woman: A Case Study
Challenging differential diagnosis, Management of emergency care, Rare coexistence of disease or pathology
Hiba Alenazi1E*DOI: 10.12659/AJCR.945366
Am J Case Rep 2024; 25:e945366
Table 1. Case reports of PID due to Streptococcus constellatus.
| Case description | Age (years) | Management | Author | Reference |
|---|---|---|---|---|
| Bilateral TOA. History of interventional radiology-guided drainage and antibiotic treatment for an intra- abdominal abscess due to suspected appendiceal rupture 4 months prior to presentation. The appendix pathology report demonstrated inflammation and serositis | 13 | Exploratory laparotomy, bilateral drainage of the TOA, appendectomy, and adhesiolysis. | Mills et al | []15 |
| TOA 2 weeks after IUD removal, rapid decompensation with septic shock from peritonitis. Comorbidities were newly diagnosed type II diabetes with diabetic ketoacidosis on presentation | 36 | Broad-spectrum antibiotic, 2 exploratory surgical procedures to obtain source control; 2 interventional radiology-guided drainage procedures to drain the remaining fluid collections | Tymon-Rosario et al | []17 |
| Acute abdominal pain, rupture of a TOA, history of IUD placement for 16 years. Suspected acute appendicitis. Surgery, since the intervention was performed for suspected acute appendicitis. A culture of pelvic pus was obtained | 38 | Explorative laparotomy, right salpingo- oophorectomy, appendectomy, and combined antibiotic therapy. | Pardo et al | []16 |
| Intermittent menorrhagia, copper IUD for 7 years; upon removal, a purulent exudate discharge was noted. No other clinical finding. An endocervical microbiology swab was obtained | 55 | Empiric antibiotic treatment of PID on an outpatient basis, azithromycin 1 g as a single dose orally, and doxycycline 100 mg orally every 12 hours for 10 days. After the sensitivity test, Rx treatment was completed with levofloxacin 500 mg orally every 12 hours for 3 days. A repeated swab after 1 month was negative | Mora-Palma et al | []8 |
| PID – pelvic inflammatory disease; TOA – tubo-ovarian abscess; IUD – intrauterine device. | ||||