Tubo‐Ovarian Abscess Occurring 16 Years AfterSupracervical Hysterectomy

Toshimitsu Tohya, Toshihiro Yoshimura, Chikashi Onoda
In: Infectious Diseases in Obstetrics and Gynecology · 2003 · vol. 11(3) , pp. 167–169 · doi:10.1080/10647440300025516 · PMID:15022878 · W2150386286
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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.

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