Tubo-ovarian abscess occurring 16 years after supracervical hysterectomy.
BACKGROUND
Supracervical hysterectomy is seldom performed and there are few reports of tubo-ovarian abscess (TOA) after supracervical hysterectomy.


METHODS
The case of a 49-year-old woman with a right TOA is reported. This patient had received a supracervical hysterectomy 16 years earlier due to rupture of the uterus. At this admission, she presented with complaints of, lower abdominal pain and fever. Bimanual and transvaginal ultrasound examinations demonstrated a tender mass in the right adnexal region. Laparotomy, pathologic examination and microbiologic study confirmed the diagnosis of right TOA.


CONCLUSIONS
After supracervical hysterectomy, patients may develop endocervicitis, parametritis and/or TOA. This series may be a subtype of ascending infections in the female genital tract.
Tohya
Toshimitsu
T
Department of Obstetrics and Gynecology, Kumamoto Rosai Hospital, Yatsushiro, Japan. tohya@fine.ocn.ne.jp
Yoshimura
Toshihiro
T
Onoda
Chikashi
C
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D009869:Oophoritis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D018570:Risk Assessment; D012488:Salpingitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D014597:Uterine Rupture / Q000175:diagnosis / Q000601:surgery
D000900:Anti-Bacterial Agents