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Pelvic Salmonella Infection Masquerading as Gynecologic Malignancy

Kudesia, Rashmi MD; Gupta, Divya MD

doi: 10.1097/AOG.0b013e31821cfc8e
Case Reports
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BACKGROUND: Salmonella species tubo-ovarian abscess is a rare clinical occurrence. Salmonella organisms are gastrointestinal pathogens that are not thought to create disease with sufficient spread or severity to result in intraperitoneal extension.

CASE: A 32-year-old nulligravid woman presented with abdominal pain, fever, and bloody diarrhea. On imaging, she was found to have complex pelvic masses highly suspicious for neoplasm. Surgical exploration revealed tubo-ovarian abscesses and peritonitis. The ovarian tissue culture revealed a Salmonella infection. The final pathology showed bilateral ovarian abscesses and an endometriotic cyst in the right ovary. After a 6-week course of antibiotics, tissue cultures were negative for Salmonella infection, and the patient has remained asymptomatic with normal menstrual cycles.

CONCLUSION: Preoperative evaluation of a pelvic mass in a reproductive-aged woman continues to be challenging, with a broad differential diagnosis. Although obstetrician–gynecologists rely on radiographic imaging for diagnosis, the results can be misleading.

A case of disseminated intraperitoneal Salmonella infection mimics an ovarian malignancy on radiographic studies.

From the Department of Obstetrics and Gynecology, New York Presbyterian Hospital–Weill Cornell Medical College, New York, New York.

Corresponding author: Divya Gupta, Department of Obstetrics and Gynecology, New York Presbyterian Hospital–Weill Cornell Medical College, 525 East 68th Street, Suite J-130, New York, NY, 10065; e-mail: dig2010@med.cornell.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 The American College of Obstetricians and Gynecologists