Tubo-ovarian abscesses complicated with septic shock following operative hysteroscopy

Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial lesions. Infection following hysteroscopic surgery is uncommon and has been estimated to be occurred in 0.18-1.50% of cases. Although prophylactic antibiotics are given following hysteroscopic surgery, the recommendation is not strongly suggested for all cases. At present, rarely pelvic infections such as tubo-ovarian abscesses (TOA), have been reported following this procedure. We present a case of bilateral TOA leading to septic shock following diagnostic hysteroscopy as a rare detrimental complication.