Reviewer’s report
Title: 
Successful laparoscopic resection of ovarian abscess caused by
Staphylococcus aureus in a 13-year-old girl: A case report and review of
literature
Version: 
1 
Date: 
06 Mar 2021
Reviewer's report:
Thank you for the opportunity to review this manuscript. The presented case is
interesting and the described pathology is very rare. 
My comments and suggestions are the following:
* Overall, the manuscript need some proofreading and grammar editing. 
* Background: 
o You mentioned that OA could cause torsion. However, OA usually forms
adhesions with the surrounding tissues, making torsion less likely.
* Case presentation: 
o Why did you decide to utilize abdominal CT in such a young patient instead of
performing the MRI in the first place? 
o Did you perform any kind of lavage/pelvic washout during surgery or inserted
surgical drains after the procedure? If not, why so?
o I would suggest rephrasing the sentence in line 94 - if you performed the
excision of the abscess/part of the ovary, then the ovary is at least party
compromised. Perhaps write "the abscess was removed without any substantial
compromise to the ovary". 
o Where in the course of treatment did you obtain the blood cultures (line 62)?
Why do you think they were negative despite the patient being febrile? 
* Discussion: 
o What is missing in the discussion is the data regarding the need for primary
surgery compared to primary empirical antibiotic treatment in these patients.
Why did you decide to perform the primary surgery and not try with the
antibiotic treatment first, especially since the patient had no pain and was not
septic? There are reports in the literature indicating that a primary surgery is not
always necessary in cases of OA in adolescent girls.
* The figures are very nice and illustrative. I would suggest marking the abscess
in Figure 1 using an arrow. 
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