# Extraperitoneal Spillage in Ruptured Tubo-Ovarian Abscess: A Case Report and Review of Literature

## TL;DR

A 43-year-old woman with a ruptured tubo-ovarian abscess developed sepsis and extraperitoneal spillage, which was successfully treated with surgical drainage and hysterectomy.

## Contribution

This case report highlights the rare complication of extraperitoneal spillage in ruptured tubo-ovarian abscess and its successful management.

## Key findings

- The patient's sepsis resolved completely after surgical drainage.
- The abscess dissected into the right rectus plane, indicating extraperitoneal spillage.
- Hysterectomy with bilateral salpingo-oophrectomy was performed following resolution of sepsis.

## Abstract

We report herein a case of a 43-year-old female with a ruptured tubo-ovarian abscess complicated by sepsis and extraperitoneal spillage into the anterior abdominal wall. The patient initially presented with acute abdominal pain and septic shock. Pelvic computed tomography revealed a collection in the abdomen that suggested a ruptured tubo-ovarian abscess, which dissects into the right rectus plane. There was a complete resolution of sepsis following surgical drainage. The patient underwent a hysterectomy with a bilateral salpingo-oophrectomy.