Hematosalpinx - 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 the pouch of Douglas with bowel tethering.

Case Discussion

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

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Case information

rID: 24147
Published: 29th Jul 2013
Last edited: 8th Jun 2018
System: Gynaecology
Inclusion in quiz mode: Included

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