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Pelvic abscess

Authoring team

A pelvic abscess most commonly follows acute appendicitis, or after gynaecological infections.

In males the abscess is located between the bladder and the rectum. In females the abscess lies between the uterus and the posterior fornix of the vagina, and the rectum posteriorly.

Clinical features include:

  • systemic features of toxicity - malaise, nausea, vomiting, pyrexia
  • local effects e.g. diarrhoea, mucuous discharge per rectum, mass on rectal or vaginal examination

Treatment:

  • antibiotics are only ever successful for early abscesses
  • surgical drainage

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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