Haematosulpinx - endometriosis

Case contributed by Dr Ahmed Subaie

Presentation

Pelvic pain

Patient Data

Age: 45 years old
Gender: Female
MRI

Bilateral high T1 signal intensity in a tubular structure (waist sign), it is high on T1FS with no enhancement, with low T2 (shading sign). Two uterine fibroids and lower adenomyosis are also seen. On the sagittal T2 there are low T2 peritoneal signal intensities in pouch of Douglas with bowel tethering.

Findings are in keeping with bilateral hematosalpynx (diagnostic of tubal endometriosis) with peritoneal endometriosis.

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Case information

rID: 24147
Case created: 29th Jul 2013
Last edited: 27th Feb 2016
System: Gynaecology
Inclusion in quiz mode: Included

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