Abscess formation in ovarian endometriomas after failure of mifepristone-induced abortion

Chao AS, A S Chao, Chang SD, S D Chang, Shiun-Young Chang, Wang CJ, Ching-Jen Wang, C J Wang, A Chao, An‐Shine Chao, Chao A, T. H. Wang, Wang TH
Clinical and experimental obstetrics & gynecology · 2016 · vol. 43(5) , pp. 766–768 · doi:10.12891/ceog2161.2016 · PMID:30074336 · W3024650417
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This case report describes abscess formation in bilateral ovarian endometriomas following failed mifepristone-induced abortion, necessitating laparoscopic drainage and enucleation.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports a clinical case of a 36-year-old multiparous woman with bilateral ovarian endometriomas who conceived spontaneously and was treated with mifepristone to induce an abortion at 35 days’ gestation. About 28 days later, she developed fever and lower abdominal pain; she underwent surgical curettage for incomplete abortion complicated by endometritis, after which her condition worsened and CT imaging revealed a large ovarian abscess. She subsequently had laparoscopic drainage of the abscess with enucleation of the endometriomas and received intravenous antibiotics, with resumption of menstruation one month later and no problems reported at 11-month follow-up. As a single case report, the paper has limited generalizability. This paper is centrally about endometriosis — it describes abscess formation in ovarian endometriomas following failed mifepristone-induced abortion.

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Abstract

OBJECTIVE: To report a case of abscess formation in bilateral ovarian endometriomas after failure of mifepristone-induced abortion. CASE REPORT: A-36-year-old multiparous woman with bilateral ovarian endometriomas conceived spontaneously and received mifepristone to induce an abortion at 35 days' gestation. Fever and lower abdominal pain occurred 28 days after the abortion. The patient then underwent surgical curettage for an incomplete abortion complicated by endometritis. Her symptoms and signs became aggravated, and computed tomography showed a large ovarian abscess. She underwent laparoscopic drainage of the abscess plus the enucleation of the ovarian endometriomas, and received intravenous antibiotic treatment. She resumed menstruation one month later and was doing well at the 11-month follow-up. CONCLUSION: This case demonstrates the importance of combining antibiotic therapy with mifepristone to induce abortions in women with known ovarian endometriomas.
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Abstract

Objective: To report a case of abscess formation in bilateral ovarian endometriomas after failure of mifepristone-induced abortion. Case Report: A-36-year-old multiparous woman with bilateral ovarian endometriomas conceived spontaneously and received mifepristone to induce an abortion at 35 days’ gestation. Fever and lower abdominal pain occurred 28 days after the abortion. The patient then underwent surgical curettage for an incomplete abortion complicated by endometritis. Her symptoms and signs became aggravated,and computed tomography showed a large ovarian abscess. She underwent laparoscopic drainage of the abscess plus the enucleation of the ovarian endometriomas, and received intravenous antibiotic treatment. She resumed menstruation one month later and was doing well at the 11-month follow-up. Conclusion: This case demonstrates the importance of combining antibiotic therapy with mifepristone to induce abortions in women with known ovarian endometriomas.

Keywords

- Endometrioma - Mifepristone - Abortion - Ovarian abscess

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Condition tags

endometriosisdisambig:endometritis

MeSH descriptors

Abortifacient Agents, Steroidal Abortion, Incomplete Abortion, Induced Abscess Endometriosis Mifepristone Ovarian Diseases Abortifacient Agents, Steroidal Abortion, Induced Abscess Adult Endometriosis Female Humans Mifepristone Ovarian Diseases Pregnancy

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