Ultrasound Management of a Case of Tubo-Ovarian Abscess (TOA) Associated with a Pregnancy of 10 Weeks Gestation

Abstract

In order to demonstrate the usefulness of the interventional ultrasound in the management of Tubo-Ovarian Abscess (TOA) associated with pregnancy, we report the case of a 29 year-old young woman, with no particular history in which was diagnosed a large left TOA in the context of a pregnancy of 10 weeks gestation. The therapeutic Puncture under ultrasound guidance was performed in an ultrasound room by the radiologist using the technique of “trocar”. The procedure was marked by the setting of an infusion containing antispasmodics prescribed by the gynecologist and a strict asepsis of the area of intervention. It permitted the discharge of 450 cm3 of frank pus. The patient was discharged on antibiotics and pain relief after a normal embryonic ultrasound. Control at 24 h and at one week showed no complications. She gave birth vaginally at term to a eutrophic newborn. We conclude that, interventional ultrasound in the management of TOA associated with pregnancy is safe and effective. It helps avoid major surgery which may have repercussions on the fetus.