Tubo-Ovarian Abscess after Uterine Artery Embolization for Uterine Fibroid

Tubo-ovarian abscess is a rare but potentially serious event that can occur after uterine artery embolization (UAE). We describe herein two cases of severe inflammatory tubo-ovarian abscesses. Two women presented with severe abdominal pain, cramping, and fever several months after UAE. Abdominal computed tomography demonstrated an enlarged tubo-ovarian mass, suggestive of an abscess. Percutaneous catheter drainage was performed. In one patient, tubo-ovarian abscess completely disappeared after the drainage, but the other patient eventually required hysterectomy and salpingo-oophorectomy. It is important for clinicians to be aware of tubo-ovarian abscess as a rare complication. Percutaneous drainage might be a useful treatment option. Page 2 of 3 Citation: Toda A, Sawada K, Osuga K, Maeda N, Higashihara H, et al. (2015) Tubo-Ovarian Abscess after Uterine Artery Embolization for Uterine Fibroid. Gynecol Obstet (Sunnyvale) 5: 306. doi:10.4172/2161-0932.1000306 Volume 5 • Issue 7 • 1000306 Gynecol Obstet (Sunnyvale) ISSN: 2161-0932 Gynecology, an open access journal adhesiolysis. The enlarged uterus with the firmly adherent right adnexa was removed (Figure 2). Histopathological examination confirmed a tubo-ovarian abscess of the right fallopian tube and ovary and leiomyoma of the uterine corpus with necrosis. In her appendix, moderate infiltrations of leukocytes as wells as histiocytes were found in serosa; however minimal neutrophils in muscularis propria were found, suggesting that this inflammation is caused by neighboring adnexa. The postoperative course was uneventful, and the patient was discharged in good condition on postoperative day 14. At 9 months’ follow-up, no evidence of recurrent pelvic infection or other sequelae were found.