Severe Infections in GynecologyPathogenesis, Diagnosis, and Management of Severe Pelvic Inflammatory Disease and Tuboovarian AbscessCHAPPELL, CATHERINE A. MD; WIESENFELD, HAROLD C. MD, CMAuthor Information Magee-Womens Hospital of UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania H.C.W. is currently receiving research funding from MethylGene Inc.; C.A.C. declares nothing to disclose. Correspondence: Harold C. Wiesenfeld, MD, CM, Magee-Womens Hospital of UPMC, University of Pittsburgh, Pittsburgh, PA. E-mail: [email protected] Clinical Obstetrics and Gynecology: December 2012 - Volume 55 - Issue 4 - p 893-903 doi: 10.1097/GRF.0b013e3182714681 Buy Metrics Abstract Severe pelvic inflammatory disease and tuboovarian abscesses (TOAs) are common pelvic infections requiring inpatient admission. There are few large randomized trials guiding appropriate clinical management of TOA, including antibiotic selection and timing of surgical management and drainage. The pathogenesis, diagnosis, and management of severe pelvic inflammatory disease and TOA are summarized and reviewed from the most current literature. © 2012 Lippincott Williams & Wilkins, Inc.