A Case of Tuboovarian Abscess Caused by Diverticulitis Penetrating to Left Fallopian Tube

Abstract

We report a case of diverticulitis penetrating to the fallopian tube. The patient was an 87-year-old woman who was referred to previous hospital with lower abdominal pain. She was diagnosed as having a left tuboovarian abscess and antibiotic therapy was performed. However, her acute abdominal pain relapsed. Computed tomography showed air formation in left tuboovarian abscess and sigmoid diverticulitis. She suffered from diverticulitis penetrating the left adnexa and transferred to our hospital. Left salpingo oophorectomy, wedge uterine resection and sigmoidectomy were performed, because the sigmoid colon had severe adhesion with the left adnexa and the uterus. During operation, the fistula between the left fallopian tube and the sigmoid colon was detected. Surgery is considered as the first choice of therapy for diverticulitis penetrating to the fallopian tube, because it is hardly resistant to the antibiotic therapy.