Cogwheel sign

Last revised by Joshua Yap on 27 Jul 2022

The cogwheel sign refers to the pelvic imaging appearance of dilated loops of fallopian tube seen in cross-section. It represents infolding projections (sometimes looking like nodules) into the fallopian tube lumen which are likened to that of a cogwheel. The sign is typically described on ultrasound and is suggestive of tubal inflammation in pelvic inflammatory disease with a pyosalpinx or a hydrosalpinx.

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.