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

Document Type : Case report

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. in Operating Room Technologist, Montaserieh Organ Transplantation and Dialysis Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Instructor, Department of Operating Room, School of Paramedicine, Bushehr University of Medical Sciences, Bushehr, Iran.

4 Instructor, Department of Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran.

5 Instructor, Department of Operating Room, School of Paramedicine, Mashhad Medical Sciences Branch, Islamic Azad University, Mashhad, Iran.

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

References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 8
September 2021
Pages 100-104

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