Clinical characteristics and misdiagnosis analysis of pelvic abscess / 中国基层医药

ABSTRACT

Objective To analyze the clinical characteristics and misdiagnosis of pelvic abscesses.Methods Retrospective study of 69 patients operated in our hospital was performed to evaluate the clinical characteristics and misdiagnosis of the pelvic abscesses.Results The clinical characteristics of pelvic abscesses were not specific,and the main symptoms and signs were repeated lower-abdominal pain,fever,chill and pelvic masses.The serum CA125 level elevated(greater than 35U/ml) in 78%.The ultrasonographic findings of pelvic abscesses were not specific.The accurate rate of ultrasonographic diagnosis was 30%.The accurate rate of preoperative diagnosis was 42%.Conclusion The misdiagnosis of pelvic abscesses was high.The clinical parameters combined with serum CA125 and US investigation can improve the accurate diagnosis rate.