Karnataka: Woman treated for severe endometriosis, pelvic abscess & sepsis managed; successful surgery at KMC hospital

MANGALURU: Doctors at KMC Hospital, Attavar, successfully treated a 43-year-old woman suffering from severe endometriosis complicated by pelvic abscess and sepsis. The patient had experienced heavy menstrual bleeding and severe abdominal pain during menstruation for the past year and was undergoing treatment for endometriosis.She presented to the Gynaecology outpatient department with severe abdominal pain and fever for one week. Ultrasound and MRI scans revealed bilateral endometriotic cysts in both ovaries and signs of acute pelvic inflammatory disease. She was initially managed with intravenous antibiotics and monitored for a week, but as the pain and fever persisted, surgery was deemed necessary.The operation, performed by Senior Gynaecologist Dr Nina Mahale and Senior General Surgeon Dr Poornachandra Tejaswi, revealed pus in the abdomen, a pelvic abscess, and bowel adhesions to the uterus, tubes, and ovaries.

The surgery was highly complex due to distorted anatomical planes caused by sepsis and endometriosis.Despite the presence of a frozen pelvis, the surgical team carefully separated the dense adhesions and performed a total abdominal hysterectomy with bilateral salpingo-oophorectomy. Post-operatively, the patient was closely monitored by the Department of Obstetrics and Gynaecology under the supervision of Head of Unit Dr Aparna Bhat, Dr Nina Mahale, and Dr Sauda.

The medical care team, led by Dr Deepak Madi, played a key role in controlling sepsis and providing appropriate antimicrobial therapy. The Anaesthesia team, headed by Dr Sumesh T Rao, ensured safe intra-operative management and effective post-operative pain relief.Medical Superintendent Dr Chakrapani and his team coordinated seamless teamwork and resource mobilisation, crucial for managing this high-risk and complex case. The patient recovered well, tolerated oral intake, and was discharged following adequate post-operative monitoring.