First trimester pregnancy complicated with bilateral ovarian abscess: Case report

Abstract

Tuboovarian abscess accounts for as many as 2,2% of admissions to urban hospitals, while postoperative abscesses occur following 0,7-4,0% of major gynecological operations. A 27 year old pregnant patient (gravida 1 para 0; G1P0) presented to our emergency department with a mild bilateral lower abdominal pain and nausea of 2 days duration. Therefore, increased white blood cell count and C-reactive protein, ongoing febrile periods with no response to antibiotherapy made an operation unevitable. Laparotomy was performed under general anaesthesia with median incision. Her histopathology report showed compatibility with abscess formation and the culture of the abscess revealed E. coli. Since a delay in diagnosis might cause loss of fetal heart beats, stillbirth, neonatal morbidite and mortality; professionals should suspect a pelvic abscess as a casual of lower quadrant abdominal pain in pregnancy. Copyright © 2013 by Türkiye Klinikleri.