Postoperative Ovarian Abscess

CLINICAL FEATURES Patients with fever and abdominal and pelvic pain shortly after discharge from the hospital may have a pelvic abscess. Such abcesses are usually ovarian in nature. A sudden increase in pain may be a signal that the abscess has ruptured. This is a surgical emergency and requires a laporatomy. If time permits or the diagnosis is in question, a CT scan can aid in identifying the size and location of the abscess.

DISPOSITION Patients with a pelvic abcess need to be admitted. Some abscesses respond to broad-spectrum antibiotics, and others may require drainage either by an interventional radiologist or by colpotomy.

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