Abstract
Because of the use of prophylactic antibiotics, a vaginal cuff infection after a total hysterectomy is relatively rare. We experienced a case of a vaginal cuff abscess that developed after laparoscopic surgery for severe endometriosis.
Case: A 48-year-old woman with history of a previous laparotomy underwent laparoscopic surgery for severe endometriosis because of failed medical therapy. On the first postoperative day, she developed a fever of over 38°C. Despite therapy with several antimicrobial agents, her fever persisted and the vagina cuff began draining. A computed tomography scan revealed an abscess at the site. Repeat surgery was performed nine days later; the procedure included exfoliation of inflammatory adhesions, drainage of the abscess, and lavage of the abdominal cavity. When a vaginal cuff infection occurs, early detection can be effective in its resolution.
