腟式子宮全摘術後の腟断端膿瘍に対し、腹腔鏡下膿瘍ドレナージが著効した一例

抄録

  A post-operative intraperitoneal abscess is common complication, but antibiotics do not always work well for abscesses. We report a case of a vaginal stump abscess after a transvaginal hysterectomy (TVH) that was treated by laparoscopic drainage. A 43-year-old gravida 1 para 1 was referred to our hospital for evaluation of endometrial thickening. We diagnosed endometrial hyperplasia by dilation and curettage (D&C) and prescribed progesterone in the luteal phase of the cycle ; however, withdrawal bleeding did not occur. Because of risk thrombosis due to obesity and diabetes, she chose a TVH for definitive treatment. Post operatively, pelvic abscess and hematoma were diagnosed. We administered Ceftriaxone (CTRX), which relieved the inflammation, but the pelvic abscess did not decrease in size. After performing laparoscopic drainage, the infection resolved and here were no post-operative complications.