Abstract:

Brain abscess as a rare complication of ovarian abscess can occur even after anti-infective treatment following ovarian abscess surgery. We report a case of a 57-year-old postmenopausal woman who developed urinary difficulty and lower abdominal pain after intrauterine device removal in a local hospital. She was diagnosed with ovarian abscess and underwent ovarian abscess resection. One month post-surgery, the patient presented with persistent high fever and headache. She was diagnosed as a brain abscess by magnetic resonance imaging, and treated by anti-infection, intracranial pressure reduction, and correction of hypoalbuminemia. The patient was discharged after her condition stabilized. Regular outpatient follow-ups were conducted, and imaging results indicated the complete recovery after eight months of discharge. We summarize the pathogenesis, clinical manifestations, diagnosis, treatment and prevention of secondary brain abscess following ovarian abscess surgery.

Key words: Ovary, Abscess, Brain abscess, Staphylococcus hominis, Intrauterine devices, Metagenome, High-throughput nucleotide sequencing