Ovarian abscess 15 months after vaginal hysterectomy. A case report.
BACKGROUND
Ovarian abscess is a primary infection of ovarian parenchyma. Since 1869, only 44 cases after vaginal hysterectomy have been reported in the medical literature. The pathophysiology of bacterial infection in these cases is different from the traditional ascending mechanism.


METHODS
A 28-year-old woman presented with complaints of lower abdominal pain and fever 15 months after transvaginal hysterectomy. Her white blood cell count was 22,700/mm3, with 90% neutrophils. Bimanual examination revealed a tender mass in the cul-de-sac, and computed tomography showed a large, multiloculated pelvic mass. Laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of ovarian abscess.


CONCLUSIONS
Our case represents another rare posthysterectomy ovarian abscess. Most of these cases were managed by surgery and antibiotic treatment.
Lau
M
M
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas, Houston Medical School 77030, USA.
Cross
C A
CA
Berens
P
P
Cunningham
K
K
Mahnke
J
J
Ali
V
V
Katz
A
A
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011183:Postoperative Complications; D013997:Time Factors; D002578:Uterine Cervical Dysplasia / Q000601:surgery
D000900:Anti-Bacterial Agents