title: Pelvic endometriosis presenting as a Supralevator abscess.
abstract: A 32-year-old woman presented with sepsis nine days after a transrectal incision and drainage of a recurrent supralevator abscess. The findings included a large mass arising from the pelvis containing multiple, leaking, and infected endometrial cysts. After a supracervical hysterectomy, bilateral salpingo-oophorectomy, sigmoid loop colostomy, appendectomy, and extensive irrigation and debridement, her condition improved with no recurrence at two-year follow-up. This case illustrates the varied presentations of endometriosis, the importance of identifying the source of a perirectal or perianal abscess, and that when a supralevator abscess develops from an intraabdominal process, the process must be addressed to prevent recurrence, fistulization, or other complications.
authors.forename: B B
authors.initials: BB
authors.lastname: Anderson
authors.forename: W B
authors.initials: WB
authors.lastname: Tuckson
mesh_terms: D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D010386:Pelvic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D010388:Pelvis / Q000000981:diagnostic imaging; D011859:Radiography; D012008:Recurrence