Case contributed by Dr Bruno Di Muzio


Left lower quadrant, suprapubic and left flank pain. White cells count 15.5 (ref. 4.0-11.0) with Neut 12.4 (ref. 2.0-8.0).

Patient Data

Age: 43-year-old
Gender: Female

There is a prominent fluid-attenuation tubular left adnexal structure, up to 2 cm in calibre, consistent with hydrosalpinx. It conglomerates with the left ovary with thick enhancing walls. Subtle focal fat stranding is noted in between this lesion and the rectum. The right ovary and the uterus are unremarkable within the limitations of a CT study.

No abnormality of the bowel is identified. There is no free fluid or free gas.

Case Discussion

Features are consistent with hydrosalpinx, with thickening and enhancing walls in keeping with pyosalpinx

The diagnosis was acheived based on the clinical data and imaging appearances. 

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Case information

rID: 45153
Published: 21st May 2016
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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