Vaginal Cuff Abscess that Developed after Laparoscopic Surgery for Severe Endometriosis: Case Report

Asuka Sugio, Yushi Akashi, Kim Mison, Hidefumi Adachi, Miyuki Morishita, Tsuyoshi Baba, Toshiaki Endo, Tsuyoshi Saito
JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2013 · vol. 29(1) , pp. 103–109 · doi:10.5180/jsgoe.29.103 · W2315525409
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

A vaginal cuff abscess developed postoperatively in a woman with severe endometriosis undergoing laparoscopic surgery, requiring surgical drainage and lavage despite initial antibiotic therapy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a 48-year-old woman with severe endometriosis who underwent laparoscopic surgery after failed medical therapy, following a prior laparotomy. On postoperative day 1 she developed fever >38°C; despite treatment with multiple antimicrobial agents, the vaginal cuff began draining and computed tomography identified a vaginal cuff abscess. She underwent repeat surgery nine days later with exfoliation of inflammatory adhesions, abscess drainage, and lavage of the abdominal cavity. This paper is centrally about endometriosis — a vaginal cuff abscess developing after laparoscopic surgery performed for severe endometriosis.

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Abstract

Because of the use of prophylactic antibiotics, a vaginal cuff infection after a total hysterectomy is relatively rare. We experienced a case of a vaginal cuff abscess that developed after laparoscopic surgery for severe endometriosis.Case: A 48-year-old woman with history of a previous laparotomy underwent laparoscopic surgery for severe endometriosis because of failed medical therapy. On the first postoperative day, she developed a fever of over 38°C. Despite therapy with several antimicrobial agents, her fever persisted and the vagina cuff began draining. A computed tomography scan revealed an abscess at the site. Repeat surgery was performed nine days later; the procedure included exfoliation of inflammatory adhesions, drainage of the abscess, and lavage of the abdominal cavity. When a vaginal cuff infection occurs, early detection can be effective in its resolution.

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endometriosis

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