Laparoscopic treatment of tubo-ovarian abscess with deep endometriosis, a case report

Reiko Takeuchi, Motofumi Yokoyama, Chihiro Minami, Nobutaka Hachisuga, Nobuko Yasutake, Yuko Kawamoto, Daisaku Senoh, Naotoshi Honda
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2013 · vol. 29(1) , pp. 88–93 · doi:10.5180/jsgoe.29.88 · W2322877354
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This report details a successful two-stage laparoscopic approach for a tubo-ovarian abscess complicated by deep endometriosis, starting with abscess drainage and followed by radical surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This 2013 case report describes a woman with tubo-ovarian abscess (TOA) complicated by deep endometriosis and reports management with two staged laparoscopic procedures. The authors first performed laparoscopic drainage for the TOA and, five months later, conducted laparoscopic radical surgery to remove the deep endometriosis. The report is framed around the difficulty of deciding management when TOA is combined with deep endometriosis, and it notes that while antibiotics are used for TOA, surgery is required in most cases. This paper is centrally about endometriosis — it presents laparoscopic management of deep endometriosis complicated by a tubo-ovarian abscess.

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Abstract

Tubo-ovarian abscess (TOA) is a severe manifestation of pelvic inflammatory disease. Irrespective of medical treatment with antibiotics, surgical procedures are required in most TOA cases. Some reports recently described the effectiveness of laparoscopic drainage for TOA in women with stage III-IV endometriosis. When a case of TOA is complicated with deep endometriosis, it can be difficult to know how to best manage such a condition. In this report, we present a case of TOA complex with deep endometriosis. We firstly chose to perform laparoscopic drainage for TOA, and secondly laparoscopic radical surgery to remove the deep endometriosis in five months.
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Case report Laparoscopic treatment of tubo-ovarian abscess with deep endometriosis, a case report 2013 Volume 29 Issue 1 Pages 88-93 Details Abstract Tubo-ovarian abscess (TOA) is a severe manifestation of pelvic inflammatory disease. Irrespective of medical treatment with antibiotics, surgical procedures are required in most TOA cases. Some reports recently described the effectiveness of laparoscopic drainage for TOA in women with stage III-IV endometriosis. When a case of TOA is complicated with deep endometriosis, it can be difficult to know how to best manage such a condition. In this report, we present a case of TOA complex with deep endometriosis. We firstly chose to perform laparoscopic drainage for TOA, and secondly laparoscopic radical surgery to remove the deep endometriosis in five months. © 2013 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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endometriosis

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