Cocoon abdomen with possible tubo-ovarian abscess
Patient presented with abdominal pain. Initial USG revealed free fluid.
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On CT there is evidence of an encapsulated fluid causing subacute bowel obstruction. The transition is seen at proximal ileal level. No abrupt transition seen. There is also evidence of a thick walled right adnexal lesion; right ovary not seen separately.
A young female presents with acute abdominal wall pain. Initial USG reveals free fluid. Patient was further advised contrast enhanced CT with oral contrast.