A tubo-ovarian abscess is a pocket of pus that forms during an
infection in a fallopian tube and ovary. This condition most commonly occurs in
women who have infection or inflammation in the reproductive tract (pelvic
A tubo-ovarian abscess is usually diagnosed based on a physical
exam or pelvic ultrasound. Some abscesses are found during surgical exploration
of the abdomen.
Antibiotics are the first-line treatment for a tubo-ovarian
abscess. Very large abscesses or abscesses that do not go away after antibiotic
treatment can be drained. Draining may be done with a large needle guided by
ultrasound or by surgically cutting into the abscess. Sometimes the infected
tube and ovary also have to be surgically removed.
Kathleen Romito, MD - Family Medicine & Martin J. Gabica, MD - Family Medicine & Sarah Marshall, MD - Family Medicine