Tubo-ovarian abscess

Case contributed by Dr Mostafa El-Feky

Presentation

Pelvic pain.

Patient Data

Age: 20 years
Gender: Female
CT

CT pelvis with contrast

Bilateral adnexal tortuous tubular lesions. The left-sided lesions are 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
Published: 23rd May 2017
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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