Mw. Weinberger et al., TUBOOVARIAN ABSCESS AFTER TUBAL-STERILIZATION - A REPORT OF 3 CASES AND LITERATURE-REVIEW, Journal of gynecologic surgery, 12(4), 1996, pp. 267-270
Pelvic inflammatory and tuboovarian abscesses are considered to be rar
e following tubal ligation. Three cases of tuboovarian abscess subsequ
ent to sterilization are reported, Each woman complained of low abdomi
nal pain, None had gonococcal or chlamydial cervicitis, and these orga
nisms were not present in the peritoneal fluid, In two cases, endometr
ial biopsy was performed without evidence of endometritis. Upper genit
al tract infection should be included in the differential diagnosis of
abdominal pain, even in women who have undergone sterilization. Given
this circumstance, hematogenous rather than ascending infection may h
ave occurred.