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SM ISO690:2012 ABDULRAGHIMOV, Ainura, SHOR, Elina. Douglas abscess: diagnostic and treatment options. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 308. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 308-308 | ||||||
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Background: Douglas abscess is a life-threatening collection of infected fluid. Usually it occurs as a complication after operative procedures or can also present as a result of the complexity of certain medical conditions like as pelvic inflammatory disease, appendicitis, diverticulitis. Objective of the study. To explain the pathophysiology of Douglas abscess, to elaborate on the importance of imaging techniques in diagnosing, and illustrate the necessary information that leads to identifying high-risk patients requiring immediate surgical intervention. Material and Methods. Research of the specialized literature and a bibliographic synthesis of 18 articles highlighting the etiopathogenic mechanisms, characteristic clinical manifestations, diagnostic methods and management of Douglas abscess, published in the last 10 years in the databases MEDLINE, PubMed, EMBASE. Results.A systematic literature review was performed, according to the from PubMed and Google Scholar using the mesh terms: „Douglas pouch”, „abscess”, „management”. Patients with Douglas abscess present with high-grade fever, leukocytosis, palpable pelvic mass, vaginal bleeding or discharge, and lower abdominal pain often associated with elevated C-reactive protein. Its presentation requires early recognition, immediate hospitalization, and surgical treatment. Conclusion. The outcome of the patients with a Douglas abscess depends on the extent of the disease, prompt diagnosis, and response to the initial medical treatment.Early recognition and expeditious treatment with appropriate antibiotics and surgical intervention can lead to successful treatment. |
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Cuvinte-cheie Douglas pouch, infection, abscess, Diagnosis, management, spațiul Douglas, infecţie, abces, diagnostic, management |
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