OBJECTIVES: To investigate risk factors, clinical, laboratory and radiological findings, treatment and complications in patient with tuboovarian abscess. STUDY DESIGN: 30 patients who underwent operation with the diagnosis of tuboovarian abscess in Selçuk University Faculty of Medicine between January. 1. 1999 and December. 31. 2000 were investigated retrospectively. RESULTS: The average age of the patients was 37.9±6.8. The main complaint was lower abdominal pain (100%). Intrauterine device (63%), history of recent pelvic inflammatory disease (PID) (36%), intrauterine operation in the near past (16%), 3 or more deliveries (70%), history of abdominal operation performed within last 1-2 months (16%), and history of perforation of appendicitis (10%) were observed as risk factors. Fever above 380C (73%), leucocytosis (%83), high sedimentation rate and CRP (100%), and high serum CA125 levels (85%) were detected in the patients. Laparotomy was performed to all patients. Abscess drainage (50%), total abdominal hysterectomy and bilateral salpingooferectomy (16%), unilateral salpingoopherectomy (16%), bilateral salpingectomy (6%), bilateral salpingoopherectomy and subtotal hysterectomy (10%) were performed to patients. CONCLUSION: Preventing risk factors, diagnosis in the time, appropriate therapy and following in tuboovarian abscess is important for women's life and future health.