Pelvic Abscess

A pelvic abscess is a life-threatening collection of infected fluid in the pouch of Douglas, fallopian tube, ovary, or parametric tissue.[1] Usually, a pelvic abscess occurs as a complication after operative procedures. It starts as pelvic cellulitis or hematoma spreads to parametrial tissue.[2] It can also present as a result of the complexity of certain medical conditions like sexually transmitted disease, pelvic inflammatory disease, appendicitis, diverticulitis, inflammatory bowel disease[3]. Also, patients with pelvic abscess present with high-grade fever, leukocytosis, palpable pelvic mass, vaginal bleeding or discharge, and lower abdominal pain often associated with elevated sedimentation rate or C-reactive protein.[4] Pelvic abscess responds well to adequate antibiotic treatment and hydration.[5] Due to its variable presentation, it requires early recognition, diagnosis, immediate hospitalization, and treatment regardless of the size of the abscess.[3] The current activity aims to explain the pathophysiology of pelvic abscess, elaborates the importance of imaging techniques in diagnosing a pelvic abscess, and also illustrates the necessary information that leads to the identification of high-risk patients requiring immediate surgical intervention.