Tubo-Ovarian Abscess (TOA) is a common condition in women in genital activity. But its connotation with pregnancy is exceptional. If the diagnosis is easy thanks to advances in medical imaging, the management of ovarian abscess complicating pregnancy increases a problem. Antibiotics alone are not enough to treat the TOA. Surgical drainage and sometimes under ultrasound direction is defined in the literature. Innovations are new idea, device or process. Innovations are the application of better solutions that meet new requirements, inarticulated needs or existing market needs.