Early Appearance of Ovarian Abscess After Laparoscopic-Assisted Vaginal Hysterectomy

Backgound: Ovarian abscesses are a rare complication encountered after vaginal hysterectomy. Few cases have been reported, and most of them have a late appearance between 15 months and 16 years after surgery. Moreover, most of the cases reported showed unilateral ovarian affection and no intervention of laparoscopic techniques. The physiopathology seems to be the hematologic or lymphatic progression of germs from the place of surgery to the ovaries. Case: In this article, we report the case of a 42-year-old patient who was operated on with a laparoscopic-assisted vaginal hysterectomy (LAVH) for polymyomatous uterus. She was admitted 17 days after at the emergency room with abdominal pain and fever. Adnexal pathology was found by ultrasonography and confirmed by scanner, and a laparoscopic approach was carried out. Four (4) intraovarian abscesses were found during surgery, which forced us to remove that ovary. The postoperative course was satisfactory, and the infection was resolved. Conclusions: This case supports the importance of considering the ovarian abscess in the differential diagnosis of postoperative infections after LAVH. (J GYNECOL SURG 26:49)