Presentation
Sexually active single female in her 20's with fever and lower abdominal pain.
Patient Data
Distended right fallopian tube with internal high T1 signal, rim enhancement and avid diffusion restriction.
The right ovary is cystic with high T2 signal, but no internal diffusion restriction.
Case Discussion
Pelvic inflammatory disease, pyosalpinx and tubo-ovarian abscess are all part of a spectrum of gynecological infection, related to sexually transmitted disease.
Usually the diagnosis is clinical, along with trans-vaginal ultrasound. On occasion the patient may reach as far as MRI.
The fallopian tube is typically
- distended
- contained high T2 signal fluid, although this may vary
- thick enhancement of the wall of the fallopian tube
- avid internal diffusion restriction ( it is essentially a tube abscess so restricts like abscesses observed elsewhere ).
Treatment is surgical.
Unable to process the form. Check for errors and try again.