Tubo-ovarian Abscess Fistula To Vaginal After Hysterectomy: Case Report

Abstract

AbstractIntroduction: Tubo-ovarian abscess is a final stages in acute pelvic inflammatory disease which may be accurred after uterine manipulation or after surgery and is very rare. Even with the development of antibiotic covering and medical care, mortalities resulted from tubo-oavariane abscess rapture due to septic shock and peritonitis are about 10%. Therefore, early diagnosis and treatment are very important. In this study, a tubo-oavarine abscess fistula to vaginal is reported. Patient Description: the patient is a 44 years old woman who experienced abdominal hysterectomy surgery six months ago and hospitalized for a week due to peritonitis sings but after discharge, she was repeatedly referring because of infectionLeukorrhea and pain. Finally, because of abdominal pain and secretions from the vaginal, she underwent laparoscopy. Tubo-oavariane abscess with fistula to the vagina was observed and the secretions were suctioned and its viscosity was released. Then, ooforectomy and salpingectomy were carried out. Conclusion: about the treatment-resistance Leukorrhea after hysterectomy, tubo-oavarine abscess and frequent infection through fistula should be taken into consideration and diagnosis laparoscopy can be effective to select a suitable treatment. Keywords:Pelvic inflammatory disease, Fistula, Tubo-oavariane abscess