A Case in which Laparoscopic Bilateral Salpingo-Oohorectomy was Indispensable due to Bilateral Tubo-Ovairan Abscesses in a Young Woman

Abstract

Tubo-ovarian abscess (TOA) requires admission to hospital, i.v. antibiotics and, possibly, aspiration or surgery. A 35-year-old woman who was G2P1 was brought into the emergency department because of acute abdomen. A transvaginal ultrasonography demonstrated bilateral cystic adnexal tumors and a moderate amount of ascites suspected to be puss. Laparoscopic examination revealed that the left and right adnexa each formed an inflammatory mass. The left and right tubo-ovarian abscesses both formed masses, and the ovaries were indistinguishable from the tubes and other inflammatory tissues. Laparoscopic bilateral salpingo-oophorectomy was indispensable. Bacterial culture showed no bacterial growth. Performance of laparoscopic bilateral salpingo-oophorectomy was indispensable due to bilateral tubo-ovarian abscesses in this patient.