Case Report
Year: 2017 | Month: September | Volume: 2 | Issue: 3 | Pages: 30-33
Bilateral Tubo-Ovarian Abscess after Cesarean Delivery; a Case Report and Literature Review
Sorayya Saleh Gargari1, Samaneh Esmaeili1, Maasoumeh Saleh1, Fereshteh Bagherifard2
1Department of Gynecology and Obstetrics, 2Department of Anaesthesiology;
Mahdiyeh Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran
Corresponding Author: Maasoumeh Saleh
ABSTRACT
Tubo-ovarian abscess (TOA) is extremely rare condition during the pregnancy and the postpartum period because the cervical mucus plug and intact amniotic membrane protect against ascending infection. It is mostly associated with endometrioma, assisted reproduction techniques and cesarean delivery. We herein report a 32-year-old woman with bilateral endometrioma who underwent emergency cesarean delivery due to placenta previa and was diagnosed to have TOA about 2 months after the delivery. She was managed medically by intravenous antibiotics without response and thus underwent surgical drainage and cyst removal. She had an uneventful postoperative period and was symptom-free at 6-month follow-up. In postpartum period, early diagnosis of pelvic inflammatory disease (PID) and TOA is crucial to prevent complications. Also, TOA symptoms are non-specific, so clinical suspicion and then evaluation with imaging is necessary to prevent fatal complications including abscess rupture, peritonitis and sepsis.
Key words: Ovarian Abscess; Cesarean Delivery; Endometrioma; Puerperium.