Key result
Laparoscopic resection with bridging anticoagulation was safely and successfully performed without complications in a high-risk patient with a tubo-ovarian abscess and mechanical valve replacement.
Case Report (n=1)
No
Laparoscopic resection with appropriate bridging anticoagulation is a safe and feasible approach for complex tubo-ovarian abscesses in high-risk patients with mechanical heart valves.
Supports laparoscopic approach with bridging anticoagulation in select cases; leaves open need for confirmatory studies.
The case is a 44-year-old-female who presented with right lower abdominal pain without fever or leukocytosis. She had previous mechanical valve replacement with taking warfarin for last ten months from the diagnoses of infective endocarditis. The ultrasonography showed bilateral complex ovarian mass. At laparoscopy, the patient had a right tubo-ovarian abscess and a left mature teratoma with extensive adhesions to the rectum. A case illustrates an uncommon premenopausal age with right tuboovarian abscess and left mature teratoma. The laparoscopic surgery is an excellent benefit for quicker recovery time, smaller incisions, less post-operative pain, and especially of a few infections that will affect to underlying disease of the patient.
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Wasinghon et al. (2019) conducted a case report in Tubo-ovarian abscess and mature teratoma in a patient with mechanical valve replacement (n=1). Laparoscopic hysterectomy and bilateral salpingo-oophorectomy with bridging anticoagulation was evaluated on Surgical success and postoperative complications. Laparoscopic resection with bridging anticoagulation was safely and successfully performed without complications in a high-risk patient with a tubo-ovarian abscess and mechanical valve replacement.
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