Tubo-ovarian abscess

Case contributed by Dr Vikas Shah

Presentation

2 days of severe abdominal pain. Vomiting. Pyrexial. Tender across lower abdomen.

Patient Data

Age: 40 years
Gender: Female
CT

Extensive inflammatory change in the lower abdomen and pelvis. Intra-uterine contraceptive device. Mural thickening and enhancement of a tubular structure in the right adnexa, adjacent to a collection with enhancing margins. Normal bowel and solid abdominal viscera.

Case Discussion

Laparoscopy confirmed a tubo-ovarian abscess and drainage was performed. The intra-uterine contraceptive device was removed as that was considered to be the route of introduction or propagation of the inflammatory change.

PlayAdd to Share

Case information

rID: 54792
Case created: 28th Jul 2017
Last edited: 18th Sep 2017
System: Gynaecology
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.