{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:11:06Z","timestamp":1787317866366,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,5]],"date-time":"2013-10-05T00:00:00Z","timestamp":1380931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":696,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ijgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the clinical and laboratory parameters, treatments, and complications of patient with tubo\u2010ovarian abscess (TOA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for 296 patients diagnosed with TOA (clinically and sonographically) between January 2005 and December 2012 were retrospectively reviewed at 3 tertiary referral hospitals in Turkey. Patients were compared on the basis of TOA size, demographic characteristics, clinical and sonographic presentation, and laboratory findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010six patients (25.7%) underwent surgery because antibiotic treatment was unsuccessful. The mean abscess size was larger and the mean C\u2010reactive protein (CRP) level and the erythrocyte sedimentation rate (ESR) were higher among patients who required surgery. The ESR had a diagnostic value of 83.6%, and a specificity and sensitivity of 73.7% and 82.7%, respectively, for the need for surgical intervention, based on a cut\u2010off value of 63.0 mm\/hour. The CRP level had a diagnostic value of 80.4%, a specificity of 82.3%, and a sensitivity of 65.8% based on a cut\u2010off value of 21.0 mg\/L.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The combined use of the sonographic TOA diameter and laboratory parameters (ESR and CRP level) can aid clinical treatment decisions and improve the prediction of the outcome of medical TOA treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.07.017","type":"journal-article","created":{"date-parts":[[2013,10,5]],"date-time":"2013-10-05T08:48:41Z","timestamp":1380962921000},"page":"45-50","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Experience of tubo\u2010ovarian abscess in western Turkey"],"prefix":"10.1002","volume":"124","author":[{"given":"Kemal","family":"G\u00fcng\u00f6rd\u00fck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Guzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Asicio\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gokhan","family":"Yildirim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guler","family":"Ataser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemal","family":"Ark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u0131d\u0131ka S.","family":"Gulova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cihangir","family":"Uzuncakmak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3182714681"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000141636.08850.d5"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70333-3"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199306000-00022"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/5.5.876"},{"issue":"2","key":"e_1_2_6_7_2","first-page":"117","article-title":"Tubo\u2010ovarian abscesses: spectrum of sonographic findings with surgical and pathological correlations","volume":"30","author":"Varras M.","year":"2003","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwg074"},{"issue":"3","key":"e_1_2_6_9_2","first-page":"203","article-title":"Computed tomographic features of tuboovarian abscess","volume":"50","author":"Hiller N.","year":"2005","journal-title":"J Reprod Med"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)91107-2"},{"issue":"3","key":"e_1_2_6_11_2","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0002-9378(16)44537-0","article-title":"Treatment of hospitalized patients with acute pelvic inflammatory disease: comparison of cefotetan plus doxycycline and cefoxitin plus doxycycline","volume":"158","author":"Sweet R.L.","year":"1988","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)91436-Z"},{"issue":"4","key":"e_1_2_6_13_2","first-page":"200","article-title":"Treatment approaches in tubo\u2010ovarian abscesses according to scoring system","volume":"112","author":"Doganay M.","year":"2011","journal-title":"Bratisl Lek Listy"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/847041"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(93)90271-J"},{"issue":"1","key":"e_1_2_6_16_2","first-page":"40","article-title":"Predictors of tuboovarian abscess in acute pelvic inflammatory disease","volume":"53","author":"Halperin R.","year":"2008","journal-title":"J Reprod Med"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2600-3"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1159\/000072076"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01657884"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1028-4559(09)60231-X"},{"issue":"1","key":"e_1_2_6_21_2","first-page":"90","article-title":"Postmenopausal tuboovarian abscess","volume":"47","author":"Heaton F.C.","year":"1976","journal-title":"Obstet Gynecol"}],"container-title":["International Journal of Gynecology &amp; 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