Tubo-ovarian abscess occurring 16 years after supracervical hysterectomy

Infect Dis Obstet Gynecol. 2003;11(3):167-9. doi: 10.1080/10647440300025516.

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.

Publication types

  • Case Reports

MeSH terms

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

Substances

  • Anti-Bacterial Agents