Gynecology & Obstetrics
Open Access

Abstract

Tubo-Ovarian Abscess after Uterine Artery Embolization for Uterine Fibroid

Aska Toda, Kenjiro Sawada, Keigo Osuga, Noboru Maeda, Hiroki Higashihara, Eiji Kobayashi, Kaori Koizumi, Naoya Shigeta, Noriyuki Tomiyama and Tadashi Kimura

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.