Korean J Obstet Gynecol.  2012 Nov;55(11):843-847. 10.5468/KJOG.2012.55.11.843.

A case of tubo-ovarian abscess in a pregnant woman

• Lee HJ
• Kim YH
• Kim JW
• Song TB
• Lee KH

• KMID: 2274154
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.843

Abstract

Tubo-ovarian abscess in pregnancy is extremely rare. In this report, we present a patient who had asymptomatic tubo-ovarian abscess during pregnancy. It was diagnosed incidentally immediately after vaginal delivery. Emergency laparotomy was followed and surgical findings included a 4 cm-sized, right, ruptured tubo-ovarian abscess with massive purulent contamination of the whole pelvic cavity. Right salpingo-oophorectomy and massive irrigation were performed.

Keyword

Pelvic abscess; Tubo-ovarian abscess; Pregnancy

MeSH Terms

Abscess
Emergencies
Female
Humans
Laparotomy
Pregnancy
Pregnant Women

Figure

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  Fig. 1 Transvaginal ultrasonography at pregnancy 18+5 weeks showed placenta previa totalis (arrow) covering the whole internal os of cervix (asterisk)

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  Fig. 2 Transabdominal ultrasonography after termination showed about 15 cm-sized echogenic mass around uterus fundus.

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  Fig. 3 Abdominal computed tomography showed pelvic abscess (asterisk) and right tubo-ovarian abscess (arrow).

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  Fig. 4 Operation findings which showed ruptured right tubo-ovarian abscess.

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