Tubo-ovarian abscess

Case contributed by Dr Balint Botz

Presentation

Progressive right lower quadrant pain, high CRP.

Patient Data

Age: 60 years
Gender: Female
Ultrasound

A circumscribed but irregular, hypoechogenic, avascular area is visible in the painful region, corresponding to the expected location of the right ovary, measuring about 9 cm. Further evaluation with CT is recommended. 

CT

An about 9 x 8 x 7 cm right adnexal, inhomogeneously enhancing conglomerate is visible with surrounding fat stranding, and locoregional lymph node enlargement, indicative of tubo-ovarian abscess

Other findings: Small calcified granulomas and - considering the single-phase acquisition - likely small cysts in the spleen. Circumscribed low-density cystic structure in the mesenteric fat adjacent to the left kidney in line with benign mesenteric cyst

Case Discussion

Typical imaging findings in a tubo-ovarian abscess. 

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Case information

rID: 83123
Published: 16th Oct 2020
Last edited: 18th Oct 2020
System: Gynaecology
Inclusion in quiz mode: Included
Institution: University of Pécs