AN UNUSUAL PRESENTATION OF A HUGE BILATERAL TUBO-OVARIAN ABSCESS: A CASE REPORT

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

Introduction: Tubo-ovarian abscess (TOA) is a documented and severe complication of untreated pelvic inflammatory disease. It is a life threatening infection that involves the ovaries, the fallopian tubes, and or any other adjacent tissue with a significant risk of infertility and pelvic adhesions. It is most commonly unilateral. Case summary: This report presents a rare and unusual presentation of a huge bilateral tubo-ovarian abscess in a young woman, who presented with recurrent abdominal pain with no clear signs of infection. Clinical and laboratory findings were suggestive of a complex ovarian mass with elevated CA-125. She had exploratory laparotomy with bilateral ovarian salpingectomy and bilateral ovarian cystectomy based on intraoperative findings. Conclusion : The management of this case underscores the need for having a high index of suspicion for unusual presentations of pelvic masses.