Enormous Pyosaplinx after Spontaneous Delivery

Abstract

Enormous pyosalpinx after a spontaneous childbirth is very rare event. Illness and progressive fever accompanied by abdominal or pelvic masses, vaginal purulent discharge, pain and pelvic discomfort, days to weeks after spontaneous delivery should add a suspicion for this condition. Ultrasound examination is the principle tool that can visualize enlarged tube. In this article, we report a 38 year old woman with a post-partum enormous pyosalpinx in which the microbial agent was not identified. Progressively severe symptoms, such as vaginal discharge, abdominal and pelvic pain, malaise and high fever started 5 days postpartum. An exploratory laparotomy showed left enormous pyosalpinx and massive adhesions with bowel and omentum. An excision of tubal ampoulae and omentum, as well as extensive lavage and drainage were made. Postoperative course was normal and the patient was dismissed in good condition.