{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:08Z","timestamp":1756381388335,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,12]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Tubo-ovarian abscesses (TOAs) are inflammatory masses involving the fallopian tube, ovary and occasionally other adjacent pelvic organs. A 32-year-old woman with no significant medical history presented with a chief complaint of lower abdominal pain. Initial CT of the abdomen was suggestive of a colon abscess; however, a repeat CT suggested a TOA. The left ovary was densely adherent to the left pelvic sidewall and the rectosigmoid colon. The content of the ovary was consistent with a dermoid and suspected of superinfection. Pathological examination of the tissue revealed normal ovarian cortical tissue, hair cells, melanin, and epidermal and neural tissue, as well as evidence of a foreign object resembling vegetable matter. The vegetable fibre found in this patient\u2019s biopsy was of an unclear aetiology, but probably indicates a perforation of the bowel. Any cause of bowel perforation adjacent to the adnexa can lead to TOA, therefore providing a rational speculation for this case.<\/jats:p>","DOI":"10.1136\/bcr-2018-224867","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:09:31Z","timestamp":1554181771000},"page":"e224867","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Vegetable fibre in an infected ovarian dermoid cyst"],"prefix":"10.1136","volume":"12","author":[{"given":"Carla M","family":"Villarreal","sequence":"first","affiliation":[{"name":"Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srikala","family":"Yedavally","sequence":"additional","affiliation":[{"name":"Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie","family":"Mulhem","sequence":"additional","affiliation":[{"name":"Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082804261188000_12.3.e224867.1","unstructured":"Beigi RH . Epidemiology, clinical manifestations, and diagnosis of tuboovarian abscess. In: UpToDate. https:\/\/www.uptodate.com\/contents\/epidemiology-clinical-manifestations-and-diagnosis-of-tubo-ovarian-abscess (Accessed 6 Jul 2016)."},{"key":"2025082804261188000_12.3.e224867.2","doi-asserted-by":"crossref","first-page":"70","DOI":"10.4240\/wjgs.v3.i5.70","article-title":"Diverticulitis presenting as a tubo-ovarian abscess with subsequent colon perforation","volume":"3","author":"Metz","year":"2011","journal-title":"World J Gastrointest Surg"},{"key":"2025082804261188000_12.3.e224867.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-008-0889-7"},{"key":"2025082804261188000_12.3.e224867.4","doi-asserted-by":"publisher","DOI":"10.1159\/000010217"},{"key":"2025082804261188000_12.3.e224867.5","first-page":"100","article-title":"Ovarian involvement in Crohn\u2019s disease: a rare complication","volume":"108","author":"Saborit","year":"2016","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082804261188000_12.3.e224867.6","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/j.jmig.2015.04.010","article-title":"Crohn\u2019s disease with ovarian granuloma: a case report and review of the literature","volume":"22","author":"Rindos","year":"2015","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082804261188000_12.3.e224867.7","doi-asserted-by":"crossref","first-page":"525","DOI":"10.17235\/reed.2016.4301\/2016","article-title":"Adnexal localization of Crohn\u2019s disease and recurrent massive ovary cysts","volume":"108","author":"Ribaldone","year":"2016","journal-title":"Rev Esp Enferm Dig"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224867","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:27:00Z","timestamp":1756380420000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224867"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-224867"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224867","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}