Although laparoscopic adhesiolysis requires a specific skill set and may not be appropriate in all patients it demonstrates a benefit in 30-day morbidity and mortality but should be performed by experienced laparaoscopic surgeons [14, 15]. Laparoscopic management of acute peritonitis is also well established [16] Table 1. Table 1 Published articles on bowel obstruction due to tubo-ovarian abscess Authors and year of AZD6094 publication Country

Weledji et al., 2013 Cameroon Pines et al., 2008 Israel Harel et al., 2003 USA Malcolm, 1915 UK Conclusion This case highlights the importance of requesting an ultrasound scan of the pelvis prior to performing a dilatation and curettage for abortion. This would not only confirm an intrauterine pregnancy but may also reveal an ectopic pregnancy, a co-existing tubo-ovarian abscess or other adnexal pathology. Consent “Written informed consent was MEK inhibitor obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal” 13. 07; 41473. References 1. Dayton M, Dempsey D, Lawson G, Posner A: New paradigms in the Selleckchem GS-9973 treatment of small bowel obstruction. Curr Prob Surg 2012,49(11):642–657.CrossRef 2. Campbell S, Monga A (Eds): Fertility control In Gynaecology by ten teachers. 17th edition. Oxford University

press; 2000. 3. MacKenzie IZ, Bibby JG: Critical assessment of dilatation and curettage in 1029 women. Lancet 1978,312(8089):566–568.CrossRef 4. Eschenbach DA, Holmes KK: Acute pelvic

inflammatory disease: current concepts of pathogenesis, etiology, and management. Clin Obstet Gynecol 1975,18(1):35–56.PubMedCrossRef 5. Pines G, Klein Y, Ben-Are A, Machlakin S, Kastan H: Small bowel obstruction due to C59 tubo-ovarian abscess. Isr Med Assoc J 2008,10(6):481–482.PubMed 6. Harel Z, Tracy TF, Bussley JG: Small Bowel Obstruction with pelvic inflammatory disease due to Chlamydia trachomatis. J Paediatric and Adolescent Gynaecology 2003, 16:125–128.CrossRef 7. Malcolm JD: Tubo-ovarian abscess, intestinal obstruction and ureteric obstruction: six abdominal sections: recovery. Br Med J 1915, 2:253–254.PubMedCrossRef 8. Weekes LR: Ruptured tubo-ovarian abscess. J of National Medical Association 1975,67(6):436–443. 9. Shulman SG, Bell CL, Hampf FE: Uterine perforation and small bowel incarceration: sonographic and surgical findings. Emerg Radiol 2006, 13:43–45.PubMedCrossRef 10. Hager WD: Follow-up of patients with tubo-ovarian abscess(es) in association with salpingitis. Obstet Gynecol 1983,61(6):680–684.PubMed 11. Powess K, Lazarus G, Gielon W, Mickhael M: Rupture of a tubo-ovarian abscess into the anterior abdominal wall: a case report. J Reprod Med 2007,82(3):235–237. 12.