Pelvic inflammatory disease and pyosalpinx

Case contributed by Dr Tourisa Deilami

Presentation

A 29 y/o woman with 6 years history of infertility with severe RLQ pain,and tenderness

Patient Data

Age: 29
Gender: Female
Modality: Ultrasound

Transvaginal ultrasound findings: a right adnexal dead end, tubular, fluid filled structure, with typical mucosal infoldings toward the lumen, thick wall and a debris-fluid level (ultrasound image), characteristic of a dilated fallopian tube (in this case: pyosalpinx).

Rt ovary is noted medial to the dilated fallopian tube and has normal appearance.mild free fluid is noted in col de sac and around the right adnexa.

No accompanying abscess was noted.

Modality: MRI

MRI confirmed ultrasound findings. The thick wall of the right fallopian tube is enhanced.

The debris-fluid level is best noted in sagittal T2 images.

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Case Information

rID: 27981
Case created: 1st Mar 2014
Last edited: 24th Sep 2015
Inclusion in quiz mode: Included

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