Tubo-ovarian abscess occurring 16 years after supracervical hysterectomy.

Abstract

BACKGROUND:

Supracervical hysterectomy is seldom performed and there are few reports of tubo-ovarian abscess (TOA) after supracervical hysterectomy.

CASE:

The case of a 49-year-old woman with a right TOA is reported. This patient had received a supracervical hysterectomy 16 years earlier due to rupture of the uterus. At this admission, she presented with complaints of, lower abdominal pain and fever. Bimanual and transvaginal ultrasound examinations demonstrated a tender mass in the right adnexal region. Laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of right TOA.

CONCLUSION:

After supracervical hysterectomy, patients may develop endocervicitis, parametritis and/or TOA. This series may be a subtype of ascending infections in the female genital tract.

• Authors: Toshimitsu Tohya, Toshihiro Yoshimura, Chikashi Onoda
• Journal: Infectious diseases in obstetrics and gynecology (Infect Dis Obstet Gynecol) Vol. 11 Issue 3 Pg. 167-9 ( 2003) ISSN: 1064-7449 [Print] Egypt
• PMID: 15022878 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Abscess (diagnostic imaging, etiology, therapy)
• Anti-Bacterial Agents (therapeutic use)
• Combined Modality Therapy
• Female
• Follow-Up Studies
• Humans
• Hysterectomy (adverse effects, methods)
• Laparotomy (methods)
• Middle Aged
• Oophoritis (diagnostic imaging, etiology, therapy)
• Pelvic Inflammatory Disease (diagnostic imaging, etiology, therapy)
• Risk Assessment
• Salpingitis (diagnostic imaging, etiology, therapy)
• Time Factors
• Treatment Outcome
• Ultrasonography
• Uterine Rupture (diagnosis, surgery)