Tubo-ovarian abscess

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Pelvic pain.

Patient Data

Age: 20
Gender: Female
CT

CT pelvis with contrast

Bilateral adnexal tortuous tubular lesions. The left sided lesions is seen collectively measuring 9 x 5 cm with, the right side averages 5 x 5 cm. They show marginal enhancement with fluid density content and marked surrounding fat stranding. They are seen inseparable from the uterus which is showing heterogeneous enhancement. No evidence of soft tissue nodules.
Mild free ascites and few locoregional enhancing lymph nodes are seen.

Case Discussion

Tubo-ovarian abscess is a late complication of pelvic inflammatory disease (PID).  The ovaries couldn't be distinguished separately from the Fallopian tubes with wall enhancement of the dilated tubular structures. It is important to differentiate it from other causes of pelvic abscess like appendiceal abscess and diverticular abscess.

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Case information

rID: 53364
Case created: 14th May 2017
Last edited: 24th May 2017
System: Gynaecology
Inclusion in quiz mode: Included

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