A case of the intractable tubo-ovarian abscess with endometriosis after appendectomy.

症例報告 虫垂炎術後に発症し治療に苦渋した子宮内膜症性嚢胞の膿瘍化の1例 2015 年 30 巻 2 号 p. 455-458 詳細 抄録 Background: A tubo-ovarian abscess (TOA) is an inflammatory mass involving the fallopian tube, ovary, and occasionally the other adjacent pelvic organs. These abscesses are found most commonly in women of reproductive age and are typically resulted from ascending infection of genital tract. Treatment modalities for TOAs include intensive antibiotic therapy, minimally-invasive drainage procedures, invasive surgery, or combination of these interventions. Case: A 30 years-old woman had a TOA with endometrioma after appendectomy. We treated her by anti-biotic therapy and laparoscopic surgery. But, her TOA relapsed as a severe infection of multiple-drug-resistant bacteria. Therefore, we performed a secondly CT-guided-drainage of the abscess and long course of antibiotic therapy. Case: A 30 years-old woman had a TOA with endometrioma after appendectomy. We treated her by anti-biotic therapy and laparoscopic surgery. But, her TOA relapsed as a severe infection of multiple-drug-resistant bacteria. Therefore, we performed a secondly CT-guided-drainage of the abscess and long course of antibiotic therapy. © 2015 日本産科婦人科内視鏡学会