Laparoscopic treatment of tubo-ovarian abscess with deep endometriosis, a case report

Abstract

  Tubo-ovarian abscess (TOA) is a severe manifestation of pelvic inflammatory disease. Irrespective of medical treatment with antibiotics, surgical procedures are required in most TOA cases. Some reports recently described the effectiveness of laparoscopic drainage for TOA in women with stage III-IV endometriosis. When a case of TOA is complicated with deep endometriosis, it can be difficult to know how to best manage such a condition. In this report, we present a case of TOA complex with deep endometriosis. We firstly chose to perform laparoscopic drainage for TOA, and secondly laparoscopic radical surgery to remove the deep endometriosis in five months.