Prise en charge chirurgicale des abcès tubo-ovariens compliquant une endométriose profonde

Risks of tubo-ovarian abscess in cases of endometrioma and assisted reproductive technologies are both under- and overreported

“…Our finding of spontaneously occurring acute pelvic infections in women bearing endometriomas has been reported by others (19)(20)(21)(22)(23). Chen et al (24) indicated that patients with advanced-stage endometriosis (III and IV) had a higher risk of developing TOA than those without endometriosis.…”

“…Laparoscopies may, however, be technically difficult in certain cases owing to the presence of severe pelvic adhesions secondary to endometriosis and past surgery for endometriosis. These technical difficulties constitute reasons for not systematically attempting to remove all endometriotic lesions (22). An alternate option for draining pelvic abscess in case of TOA is to proceed transvaginally under ultrasound guidance, with success rates of 93% reported in nonendometriosis women (31,32).…”