Timely Exploratory Laparotomy in Severe Pelvic Inflammatory Disease: A Case Study on Surgical Decision-Making

Nathan Jatczak, Ashley Alumbaugh

Abstract: Pelvic Inflammatory Disease (PID) is a common yet potentially serious gynecological condition that may result in infertility, ectopic pregnancy, and chronic pelvic pain if not promptly treated. While the mainstay of treatment is broad-spectrum intravenous antibiotic therapy, certain cases particularly those complicated by tubo-ovarian abscess (TOA) or peritonitis require surgical intervention. We present the case of a 28-year-old female with severe PID and TOA unresponsive to 48 hours of guideline-directed antibiotic therapy. Exploratory laparotomy revealed a ruptured TOA and extensive pelvic adhesions, necessitating immediate surgical management. The patient made a full recovery with complete resolution of symptoms at follow-up. This case emphasizes the critical importance of timely surgical intervention in complicated PID and highlights the ongoing need for evidence-based guidelines regarding optimal timing of surgery to minimize morbidity and improve outcomes.

Keywords: Pelvic Inflammatory Disease, Tubo-ovarian abscess, Exploratory Laparotomy, Surgical timing, Peritonitis

How to Cite?: Nathan Jatczak, Ashley Alumbaugh, "Timely Exploratory Laparotomy in Severe Pelvic Inflammatory Disease: A Case Study on Surgical Decision-Making", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 217-220, https://www.ijsr.net/getabstract.php?paperid=SR25803031020, DOI: https://dx.doi.org/10.21275/SR25803031020