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Postmenopausal Tuboovarian Abscess

From the Department of Obstetrics and Gynecology at the Los Angeles County-University of Southern California Medical Center, Los Angeles, California

Abstract

Twelve postmenopausal women with a tuboovarian abscess were managed at the Los Angeles County-University of Southern California Medical Center in the period 1970 to 1975. Postmenopausal uterine bleeding and a palpable pelvic mass were the most common findings. On admission however, presenting signs and symptoms were generally not helpful in making a correct descriptive diagnosis. Four of the patients had a ruptured tuboovarian abscess at the time of surgery, and additional pathologic findings were common. The total hospital course was prolonged, with significant postoperative complications in 7 patients. Three patients developed gastrointestinal fistulas and 5 patients required further surgery. Possible etiologies of these adnexal abscesses and suggested patient management including appropriate antibiotic therapy is discussed.