{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T11:54:35Z","timestamp":1782906875909,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":181,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tubo\u2010ovarian abscess is a serious complication of pelvic inflammatory disease that often requires surgical management. Diabetic ketoacidosis is a life\u2010threatening metabolic emergency most seen in Type 1 diabetes but can rarely occur in Type 2 diabetes. The simultaneous occurrence of TOA and DKA is extremely rare, highlighting a clinically important association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a 37\u2010year\u2010old woman with poorly controlled Type 2 diabetes mellitus who presented with severe abdominal pain, fever, and metabolic decompensation diagnosed as DKA. On workup, CT scan revealed bilateral tubo\u2010ovarian abscesses. She was admitted to the intensive care unit and managed appropriately. Persistent fever with elevated CRP prompted laparoscopic drainage of both abscesses, resulting in clinical improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bilateral tubo\u2010ovarian abscess can precipitate diabetic ketoacidosis in women with Type 2 diabetes mellitus. Recognizing gynecologic sepsis as a potential precipitant is crucial for timely management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crog\/4323528","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T11:39:37Z","timestamp":1782905977000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Tubo\u2010Ovarian Abscess as an Unusual Trigger of Diabetic Ketoacidosis in a Woman With Type 2 Diabetes: A Rare Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5054-5571","authenticated-orcid":false,"given":"Hala O.","family":"Abdallah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9137-2308","authenticated-orcid":false,"given":"Bara J.","family":"Abufara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8061-0971","authenticated-orcid":false,"given":"Hobab J.","family":"Odeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3744-1355","authenticated-orcid":false,"given":"Ansam","family":"Nafah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8028-503X","authenticated-orcid":false,"given":"Reem","family":"Shihab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mua\u2032weah","family":"Shroof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"StatPearls","author":"Kairys N.","year":"2024"},{"key":"e_1_2_11_2_2","volume-title":"Management of Bilateral Tubo-Ovarian Abscesses","author":"Blanchard M.","year":"2025"},{"key":"e_1_2_11_3_2","volume-title":"Tubo-Ovarian Abscess: Symptoms, Causes, and Treatment","author":"Ewumi O.","year":"2025"},{"key":"e_1_2_11_4_2","volume-title":"Diabetic Ketoacidosis - Symptoms & Causes","author":"Mayo Clinic","year":"2025"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.disamonth.2022.101409"},{"key":"e_1_2_11_6_2","volume-title":"Practical Diabetes","author":"John Wiley & Sons, Inc","year":"2025"},{"key":"e_1_2_11_7_2","volume-title":"Endotext","author":"Gosmanov A. 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