Case ReportBilateral Tubo-ovarian Abscess After Vaginal HysterectomyRoth, Ted M. MDAuthor Information From the Women's Specialty Center of Central Maine Medical Center, Lewiston, ME. Reprints: Women's Specialty Center of Central Maine Medical Center, 287 Main St., Lewiston, ME 04240. E-mail: email@example.com. Journal of Pelvic Medicine and Surgery: January-February 2007 - Volume 13 - Issue 1 - p 35-37 doi: 10.1097/01.spv.0000254132.36728.b0 Buy Metrics AbstractIn Brief Tubo-ovarian abscess is an uncommon complication of vaginal hysterectomy. Presented is a case of a 39-year-old woman who underwent vaginal surgery for symptomatic pelvic organ prolapse and presented 23 days postoperatively with lower abdominal pain and fever. Her white blood cell count was 14,500/mm3. Pelvic examination revealed a fullness at the vaginal cuff and computed tomography showed bilateral multiloculated pelvic masses. Laparotomy and pathologic investigation confirmed the presence of bilateral tubo-ovarian abscesses. Relevant literature is reviewed, and the surgeon should be alerted to the variable latency associated with these infections. Management typically includes antibiotics and surgery. A case of bilateral tubo-ovarian abscess after vaginal hysterectomy is presented. © 2007 Lippincott Williams & Wilkins, Inc.