A Left Ovarian Abscess Developing after a Douglas Abscess Complication after an Appendectomy for the Treatment of Acute Appendicitis

Abstract

A 16-year-old girl was admitted to our hospital complaining of epigastralgia lasting for two days. A preoperativediagnosis of acute appendicitis was made, and an emergency laparoscopic appendectomy was performed. Gangrenousappendicitis was observed, but no clear signs of perforation were seen. After the operation, the patient developed a feverof more than 38 that lasted for five days. Conservative therapy was effective. On the 16th postoperative day, thepatient complained of fever and a lower abdominal pain and was readmitted to our hospital. An abdominal computedtomography (CT) examination revealed a Douglas abscess, and transanal drainage was performed on the 20th postoperativeday. She subsequently developed another fever of more than 38°C and was readmitted on the 46^th postoperativeday. An abdominal CT showed a lower abdominal abscess, and a laparotomy for abscess drainage was performed onthe 50^th postoperative day. A left oophorectomy was performed to remove the left ovarian abscess. No abdominalabscesses have recurred since the last operation.