Bilateral ruptured tubo-ovarian abscesses following bilateral tubal ligation several years earlier.
The occurrence of pelvic inflammatory disease and tubo-ovarian abscesses previously has been regarded as essentially nonexistent in the patient who has undergone tubal sterilization, although there have been isolated reports in the literature. This case describes a patient who underwent tubal ligation approximately 6 years prior to presenting with bilateral ruptured tubo-ovarian abscesses. The patient underwent emergency surgery and had an uneventful recovery. Theoretically, although bilateral tubal ligation should preclude the development of pelvic inflammatory disease, it is a diagnosis that should be considered in the patient presenting with lower pelvic and abdominal pain.
Perkins
J D
JD
Department of Obstetrics and Gynecology, Meharry Medical College, School of Medicine, Nashville, Tennessee 37208, USA.
Carter
C
C
Kimes
D C
DC
D000038:Abscess; D000291:Adnexal Diseases / Q000188:drug therapy / Q000473:pathology; D000328:Adult; D005260:Female; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000188:drug therapy / Q000473:pathology; D011183:Postoperative Complications; D013246:Sterilization, Tubal