{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:20:03Z","timestamp":1788441603441,"version":"build-2803163510"},"reference-count":9,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,7]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:italic>Salmonella-<\/jats:italic>\n                    induced tubo-ovarian abscesses (TOAs) in patients with ovarian endometriomas and coexisting adenomyosis are rare and surgically challenging due to dense adhesions. We report a woman in her late 30s presenting with 2\u2009weeks of worsening left iliac fossa pain. She exhibited cervical motion tenderness and significantly elevated inflammatory markers, including a white blood cell (WBC) count of 22.7\u00d710\n                    <jats:sup>9<\/jats:sup>\n                    \/L and CRP of 185.9\u2009mg\/L. Ultrasound revealed a 7.1\u2009cm complex left adnexal cyst. After 72 hours of intravenous antibiotics (ceftriaxone, metronidazole) and oral doxycycline, she successfully underwent a laparoscopic left adnexectomy, subtotal hysterectomy with right salpingectomy, at her request. She recovered fully within 2\u2009weeks. This case demonstrates that laparoscopy is the preferred management for complicated TOA with endometrioma and adenomyosis, and that 72 hours postantibiotic initiation is the optimal timing for surgery.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-273940","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:50:12Z","timestamp":1784555412000},"page":"e273940","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Salmonella-induced adnexal abscess superimposed on ovarian endometrioma and adenomyosis"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9315-1611","authenticated-orcid":false,"given":"Duc Truong","family":"Nguyen","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, FV Hospital, Ho Chi Minh City, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trieu Dat","family":"Vo","sequence":"additional","affiliation":[{"name":"FV Hospital, Ho Chi Minh City, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bich Thuy","family":"Duong","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, FV Hospital, Ho Chi Minh City, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huynh Duc","family":"Luu","sequence":"additional","affiliation":[{"name":"Medical Office, FV Hospital, Ho Chi Minh City, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"2026090306051370000_19.7.e273940.1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/tog.12447","article-title":"Diagnosis and management of tubo\u2010ovarian abscesses","volume":"20","author":"Munro","year":"2018","journal-title":"Obstet Gynaecol"},{"key":"2026090306051370000_19.7.e273940.2","unstructured":"Kairys N , Roepke C . Tubo-ovarian abscess. In: StatPearls. Treasure Island (FL): StatPearls Publishing LLC, 2026."},{"key":"2026090306051370000_19.7.e273940.3","doi-asserted-by":"crossref","first-page":"183","DOI":"10.2147\/TCRM.S350750","article-title":"Management of Pelvic Inflammatory Disease in Clinical Practice","volume":"19","author":"Yusuf","year":"2023","journal-title":"Ther Clin Risk Manag"},{"key":"2026090306051370000_19.7.e273940.4","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2025.e00758","article-title":"Salmonella-induced ovarian abscess developing in bilateral ovarian endometriomas: A case report","volume":"48","author":"Iito","year":"2025","journal-title":"Case Rep Womens Health"},{"key":"2026090306051370000_19.7.e273940.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1997.tb00867.x"},{"key":"2026090306051370000_19.7.e273940.6","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7005a1"},{"key":"2026090306051370000_19.7.e273940.7","doi-asserted-by":"crossref","DOI":"10.1155\/2010\/847041","article-title":"Tuboovarian abscesses: is size associated with duration of hospitalization & complications?","volume":"2010","author":"Dewitt","year":"2010","journal-title":"Obstet Gynecol Int"},{"key":"2026090306051370000_19.7.e273940.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2009.01.010"},{"key":"2026090306051370000_19.7.e273940.9","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000041508","article-title":"Determination of intraoperative complication rate and risk factors in patients undergoing surgery for tubo-ovarian abscess: A retrospective cohort study","volume":"104","author":"Tas","year":"2025","journal-title":"Medicine (Baltimore)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-273940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:05:25Z","timestamp":1788440725000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-273940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":9,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,20]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2026-273940"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-273940","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}