Myometrial Abscess in the Noninstrumented Uterus

Abstract

A 67-year-old female with pelvic pain and leukocytosis had imaging demonstrating a 3.2 × 2.3 cm ring-enhancing lesion suspicious for a myometrial abscess (Fig. 1). She was in remission from mantle cell lymphoma after total body radiation and chemotherapy. Initially vitally stable and afebrile, she eventually developed sepsis despite conservative management with broad-spectrum antimicrobials. Exploratory laparoscopy demonstrated diffuse abscesses and abdominopelvic adhesions (Fig. 2). Intraoperative finding of the ruptured cornual abscess (Fig.