Reviewer ’s report  
 
Title:  Tubo -ovarian Abscess with Sepsis in a Nonagenarian Woman: A Case Report and 
Literature Review  
 
Version: 0 Date: 25 Nov 2018 
 
Reviewer:  Ludwin  Artur  
 
Reviewer’s report:  
 
This is a case report of sepsi s due to tubo -ovarian abscess in a post -menopausal women. Case 
reports, which are warrant to be published should meet specific criteria - it is not the rarity but 
rather, that  
 
- it illustrates either a potential for change in management or an unique insig ht into disease 
aetiology, as well as  
 
- highlight important innovations with wide applicability,  
 
- previously unpublished complications of new techniques or medications.  
 
In the submitted manuscript I cannot find any new and interesting information, which justify its 
publication in any high quality journal.  
 
The case is clinically obvious, and application of imaging tools in symptomatic patients is a 
standard. Recognition of pelvic tumor/tubo -ovarian abscess by Ultrasound or MRI with symptom 
of sepsis require typical and obvious surgical intervention. The case  decription and conclusions 
contains basic knowledge, which is well known for medical students and all gynecologists.  
 
Are the methods appropriate and well  described?  
If not, please specify what is required in your comments to the authors.  
 
No 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
No 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is re commended, please specify what aspects require further 
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an 
organisation that may in any way gain or lose financia lly from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold o r are you currently applying for any patents relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do yo u have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the  above, write 'I declare that I have no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I have no competing interests  
 
I agree to the open peer review policy of the journal. I understand that my name will  be included 
on my report to the authors and, if the manuscript is accepted for publication, my named report 
including any attachments I upload will be posted on the website along with the authors' 
responses. I agree for my report to be made available unde r an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be included as  confidential comments 
to the editors, which will not be published.  
 
I agree to the open peer review policy of the journal