Tubo-ovarian complex

Case contributed by Manar Alaa El Din osman
Diagnosis probable


Fever and right pelvic tenderness

Patient Data

Age: 35 years
Gender: Female

Right-sided adnexal complex lesion is seen measuring about 3 x 5.3 x 5.7 cm along maximal AP, TS & CC dimensions, it shows dilated fallopian tube with internal fluid signal, it elicits heterogeneous bright T2/STIR and low T1 signals, with heterogeneous post-contrast enhancement and areas of restricted diffusion on DWI.

The left fallopian tube is dilated, and distended with a fluid signal being of bright T2/STIR and low T1 signals, it also shows heterogeneous post-contrast enhancement and restricted diffusion.

Case Discussion

Tubo-ovarian complex presents as a heterogenous adnexal mass with areas of restricted diffusion, and the patients usually present with fever and tenderness.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.