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Case Reports in Emergency Medicine
Volume 2016, Article ID 8796281, 4 pages
Case Report

A Tuboovarian Abscess Associated with a Ruptured Spleen

Department of Emergency Medicine, University Hospitals Case Medical Center and Case Western Reserve University, 11100 Euclid Avenue, B-517, Cleveland, OH 44139, USA

Received 16 October 2015; Accepted 27 December 2015

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2016 Jennifer S. Li and Johnathan Michael Sheele. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report the first case of a tuboovarian abscess complicated by a ruptured spleen. Our patient was a 27-year-old female with human immunodeficiency virus (HIV) who presented to the emergency department (ED) with complaints of urinary symptoms and diarrhea. After being diagnosed with a tuboovarian abscess (TOA), she received antibiotics and was admitted to the gynecology service. Shortly thereafter she developed hemorrhagic shock, necessitating a splenectomy and salpingooophorectomy from a ruptured spleen.