Tubo-ovarian abscess

Case contributed by RMH Core Conditions

Presentation

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

Patient Data

Age: 37
Gender: Female
Ultrasound

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.

CT

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.

Conclusion

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. 

PlayAdd to Share

Case information

rID: 34205
Case created: 9th Feb 2015
Last edited: 10th Sep 2015
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.