Postmenopausal tubo-ovarian abscess

Tubo-ovarian abscess in postmenopausal women is a distinct and rare entity. The disease is usually diagnosed on the operating table and its high rate of postoperative complications and mortality commands special attention. By presenting our experience with four cases of tubo-ovarian abscess in postmenopausal women, we would like to re-emphasize the importance of including this disease in the differential diagnosis of the surgeon and the gynecologist. Early laparotomy is essential to reduce morbidity and mortality.