{
  "abstract": "Salmonella-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 weeks of worsening left iliac fossa pain. She exhibited cervical motion tenderness and significantly elevated inflammatory markers, including a white blood cell (WBC) count of 22.7×109/L and CRP of 185.9 mg/L. Ultrasound revealed a 7.1 cm 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 weeks. 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.",
  "authors": [
    {
      "affiliations": [
        "Obstetrics and Gynecology, FV Hospital, Ho Chi Minh City, Viet Nam"
      ],
      "name": "Duc Truong Nguyen"
    },
    {
      "affiliations": [
        "FV Hospital, Ho Chi Minh City, Viet Nam"
      ],
      "name": "Trieu Dat Vo"
    },
    {
      "affiliations": [
        "Department of Infectious Disease, FV Hospital, Ho Chi Minh City, Viet Nam"
      ],
      "name": "Bich Thuy Duong"
    },
    {
      "affiliations": [
        "Medical Office, FV Hospital, Ho Chi Minh City, Viet Nam"
      ],
      "name": "Huynh Duc Luu"
    }
  ],
  "title": "Salmonella-induced adnexal abscess superimposed on ovarian endometrioma and adenomyosis",
  "uid": "bacbf819-1a77-54bc-9320-0a31ebdb05b2"
}