Ruptured Bilateral Tubo-Ovarian Abscess with Multi-Organ Failure after Sonosalpingography

Tubo ovarian abscess is an extremely rare event after sonosalpingography. TOA is a serious and potentially life-threatening condition. Aggressive medical and/or surgical therapy is required, and rupture of an abscess may result in sepsis. It is mostly associated with chronic pelvic inflammatory disease (PID), endometriosis and endometrioma and post caesarean section. The most common cause of TOA is ascending infection which is the major pathophysiology in the development of PID. Other causes of TOA are hematogenous spread, lymphatic spread from contiguous organ, infection in previously existing ovarian cyst and flare up of an old infection. ubo-ovarian abscess is characterized by an inflammatory complex mass involving tubes, ovaries, and other adjacent organs like bowel or bladder. The diagnosis of TOA requires a PID criteria and at least one complex pelvic mass. (4) Appropriate management is crucial, because there are potentially severe short term consequences such as abscess rupture, peritonitis and sepsis, and long term consequences such as infertility, ectopic pregnancy and chronic PID. In most cases, TOA responds well to antibiotics; however, 25% cases of TOA require surgical intervention and drainage. ere we are reporting a rare case of TOA in infertile woman who underwent SSG.