Abstract
OBJECTIVE: Review available literature on pelvic inflammatory disease in postmenopausal women. DESIGN: MEDLINE literature review from 1966 to 1999. RESULTS: Pelvic inflammatory disease is uncommon in postmenopausal women. It is polymicrobial, often is concurrent with tuboovarian abscess formation, and is often associated with other diagnoses. CONCLUSION: Postmenopausal women with pelvic inflammatory disease are best treated with inpatient parenteral antimicrobials and appropriate imaging studies. Failure to respond to antibiotics should yield a low threshold for surgery, and consideration of alternative diagnoses should be entertained.
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Selected References
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- Altman L. C. Ovarian abscess and vaginal fistula. Obstet Gynecol. 1972 Sep;40(3):321–322. [PubMed] [Google Scholar]
- Balthazar E. J., Birnbaum B. A., Yee J., Megibow A. J., Roshkow J., Gray C. Acute appendicitis: CT and US correlation in 100 patients. Radiology. 1994 Jan;190(1):31–35. doi: 10.1148/radiology.190.1.8259423. [DOI] [PubMed] [Google Scholar]
- Ben-Baruch G., Menashe Y., Leibovitz S., Schiff E., Menczer J. Pelvic malignancy presenting as a pelvic inflammatory process in pre and postmenopausal women. Eur J Gynaecol Oncol. 1991;12(5):347–349. [PubMed] [Google Scholar]
- Blumenfeld Z., Toledano C., Eitan A., Barzilai A., Brandes J. M. Tubo-ovarian abscess in the postmenopausal woman. World J Surg. 1982 Sep;6(5):634–636. doi: 10.1007/BF01657884. [DOI] [PubMed] [Google Scholar]
- Brunham R. C., Binns B., Guijon F., Danforth D., Kosseim M. L., Rand F., McDowell J., Rayner E. Etiology and outcome of acute pelvic inflammatory disease. J Infect Dis. 1988 Sep;158(3):510–517. doi: 10.1093/infdis/158.3.510. [DOI] [PubMed] [Google Scholar]
- Ferzoco L. B., Raptopoulos V., Silen W. Acute diverticulitis. N Engl J Med. 1998 May 21;338(21):1521–1526. doi: 10.1056/NEJM199805213382107. [DOI] [PubMed] [Google Scholar]
- Fisher M., Drugan A., Govrin J., Timor-Tritsch I. E., Brandes J. M. Postmenopausal tubo-ovarian abscess. Acta Obstet Gynecol Scand. 1986;65(6):661–663. doi: 10.3109/00016348609158408. [DOI] [PubMed] [Google Scholar]
- Heaton F. C., Ledger W. J. Postmenopausal tuboovarian abscess. Obstet Gynecol. 1976 Jan;47(1):90–94. [PubMed] [Google Scholar]
- Hillier S. L., Lau R. J. Vaginal microflora in postmenopausal women who have not received estrogen replacement therapy. Clin Infect Dis. 1997 Sep;25 (Suppl 2):S123–S126. doi: 10.1086/516221. [DOI] [PubMed] [Google Scholar]
- Hoffman M., Molpus K., Roberts W. S., Lyman G. H., Cavanagh D. Tuboovarian abscess in postmenopausal women. J Reprod Med. 1990 May;35(5):525–528. [PubMed] [Google Scholar]
- Landers D. V., Sweet R. L. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis. 1983 Sep-Oct;5(5):876–884. doi: 10.1093/clinids/5.5.876. [DOI] [PubMed] [Google Scholar]
- Lipscomb G. H., Ling F. W. Tubo-ovarian abscess in postmenopausal patients. South Med J. 1992 Jul;85(7):696–699. doi: 10.1097/00007611-199207000-00006. [DOI] [PubMed] [Google Scholar]
- London A. M., Burkman R. T. Tuboovarian abscess with associated rupture and fistula formation into the urinary bladder: report of two cases. Am J Obstet Gynecol. 1979 Dec 15;135(8):1113–1114. doi: 10.1016/0002-9378(79)90745-2. [DOI] [PubMed] [Google Scholar]
- Mann L. I., Romney S. L. Postmenopausal ruptured adnexal abscess. Report of 2 cases. Obstet Gynecol. 1966 Nov;28(5):707–711. [PubMed] [Google Scholar]
- McCoy N. L., Davidson J. M. A longitudinal study of the effects of menopause on sexuality. Maturitas. 1985 Sep;7(3):203–210. doi: 10.1016/0378-5122(85)90041-6. [DOI] [PubMed] [Google Scholar]
- Mickal A., Sellmann A. H., Beebe J. L. Ruptured tuboovarian abscess. Am J Obstet Gynecol. 1968 Feb 1;100(3):432–436. doi: 10.1016/s0002-9378(15)33710-8. [DOI] [PubMed] [Google Scholar]
- Paavonen J., Lehtinen M., Teisala K., Heinonen P. K., Punnonen R., Aine R., Miettinen A., Grönroos P. Haemophilus influenzae causes purulent salpingitis. Am J Obstet Gynecol. 1985 Feb 1;151(3):338–339. doi: 10.1016/0002-9378(85)90299-6. [DOI] [PubMed] [Google Scholar]
- Schnur P. L., Symmonds R. E., Williams T. J. Intestinal disorders masquerading as gynecologic problems. Surg Gynecol Obstet. 1969 May;128(5):1016–1020. [PubMed] [Google Scholar]
- Soper D. E., Brockwell N. J., Dalton H. P., Johnson D. Observations concerning the microbial etiology of acute salpingitis. Am J Obstet Gynecol. 1994 Apr;170(4):1008–1017. doi: 10.1016/s0002-9378(94)70094-x. [DOI] [PubMed] [Google Scholar]
- Soper D. E. Pelvic inflammatory disease. Infect Dis Clin North Am. 1994 Dec;8(4):821–840. [PubMed] [Google Scholar]
- Vasilev S. A., Roy S., Essin D. J. Pelvic abscesses in postmenopausal women. Surg Gynecol Obstet. 1989 Sep;169(3):243–246. [PubMed] [Google Scholar]
- Washington A. E., Aral S. O., Wølner-Hanssen P., Grimes D. A., Holmes K. K. Assessing risk for pelvic inflammatory disease and its sequelae. JAMA. 1991 Nov 13;266(18):2581–2586. [PubMed] [Google Scholar]