Cornual abscess rupture: A rare etiology of acute abdomen
The present case has been reported in the journal Clinical Case Reports. A 42‐year‐old female presented with acute abdominal pain. A retained intrauterine device (IUD) was removed at bedside. Intravenous antibiotics were initiated for presumed tubo‐ovarian abscess (TOA).

On hospital day 3, she developed acute worsening of clinical and imaging findings. Exploratory laparotomy revealed a ruptured right cornual abscess.

Intraoperative findings were notable for an 8‐cm uterus with a 3‐cm area of abscess rupture originating from the right cornu of the uterus, leaving a large uterine defect. Spillage of pus into the abdominal cavity was noted immediately upon entry, as well as exudates and adhesions involving the cecum, appendix, small bowel, and pelvic structures.

Hysterectomy with right salpingo‐oophorectomy was performed, and the specimen was sent to pathology. The appendix and right adnexa were markedly inflamed but were not the primary source of acute infection. The patient improved clinically following hysterectomy with salpingo‐oophorectomy and was discharged on hospital day 6.

Read more here: