Tubo-ovarian abscess fistula to vagina after hysterectomy: Case report

Abstract

Introduction: Tubo-ovarian abscess is one of the final stages in acute pelvic inflammatory disease which may be occurred after uterine manipulation or after surgery and is very rare. Even with the development of antibiotic covering and medical care, the rate of 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 case of tubo-oavarine abscess fistula to vagina is reported. Case presentation: The patient was a 44 years old woman who experienced abdominal hysterectomy surgery six months ago and hospitalized for one week due to pelviperitonitis sings but after discharge, she was repeatedly referring because of infection Leukorrhea and pain. Finally, because of abdominal pain and secretions from the vagina, 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: In the case of treatment-resistance Leukorrhea after hysterectomy, tubo-oavarine abscess and frequent infection through fistula to vagina should be taken into consideration and diagnostic laparoscopy can be helpful to select a suitable treatment.

Keywords

• fistula
• pelvic inflammatory disease
• tubo-oavariane abscess