OVARIAN ABSCESS 15 MONTHS AFTER VAGINAL HYSTERECTOMY - A CASE-REPORT

BACKGROUND: Ovarian abscess is a primary infection of ovarian parenchy ma. Since 1869, only 44 cases after vaginal hysterectomy have been rep orted in the medical literature. The pathophysiology of bacterial infe ction in these cases is different from the traditional ascending mecha nism. CASE: A 28-year-old woman presented with complaints of lower abd ominal pain and fever 15 months after transvaginal hysterectomy. Her w hite blood cell count Tvas 22,700/mm(3), with 90% neutrophils. Bimanua l al examination revealed a tender mass in the cul-de-sac, and compute d tomography showed a large, multiloculated pelvic mass. Laparotomy, p athologic examination and microbiologic study confirmed the diagnosis of ovarian abscess. CONCLUSION: Our case represents another rare posth ysterectomy ovarian abscess. Most of these cases were managed by surge ry and antibiotic treatment.