Tubo-ovarian abscess

Case contributed by RMH Core Conditions


Five days lower abdominal pain with anorexia, nausea, constipation.

Patient Data

Age: 37
Gender: Female

A normal appearing anteverted, anti-flexed uterus is present. Endometrial stripe measures 4mm. Both ovaries are identified. The left ovary has a normal appearance.

The right adnexa contains a complex, predominantly cystic mass which has an US appearance most in keeping with a tubo-ovarian abscess.


An irregularly multiloculated, predominately fluid density mass in the right adnexa displaces the uterus to the left and posteriorly extends superior to the uterus to impinge upon the sigmoid colon at the apex of a very acute sacrococcygeal angle.

There appears to be associated free fluid in the pouch of Douglas.


The insinuation of the complex mass into anatomical spaces is in keeping with the diagnosis of tubo-ovarian abscess. 

Case Discussion

Tubo-ovarian abscesses are a long-term complication of pelvic inflammatory disease. 

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Case information

rID: 34205
Case created: 9th Feb 2015
Last edited: 10th Sep 2015
System: Gynaecology
Inclusion in quiz mode: Included

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