A pocket of pus that forms during an infection of a fallopian tube
and ovary is called a tubo-ovarian abscess. Tubo-ovarian abscesses can develop
in women who have
pelvic inflammatory disease (PID).
A tubo-ovarian abscess is usually diagnosed by physical exam or
pelvic ultrasound. Some abscesses are found by surgical exploration of the
abdomen (laparoscopy or
These abscesses are usually treated with antibiotics. Very large
abscesses or abscesses that do not go away after antibiotic treatment may have
to be drained. Draining may be done by using a large needle. The needle is guided by
ultrasound or by cutting into the abscess during laparoscopy or laparotomy.
Sometimes the infected tube and ovary also have to be removed