Laparoscopic Surgical Management of an Iatrogenic Tubo-ovarian Abscess Following Hysteroscopy in a Sexually Inexperienced Female.

Abstract

interventionS A 42-year-old, nulligravid, with no coital experience, developed sudden-onset lower abdominal pain accompanied by fever, 1 week following a hysteroscopic procedure. She endured the symptoms for 6 weeks until finally deciding to seek a consult. A magnetic resonance scan showed a thick-walled left adnexal cyst with marked diffusion restriction and fat stranding. This was signed out as pelvic inflammatory disease (PID) with a left TOA. A broad-spectrum course of antibiotics was given, without any improvement in her symptoms. A sonographic follow-up scan showed no decrease in the lesion size, hence surgical intervention was performed.