Uterine didelphys and tubo-ovarian abscess

Case contributed by Natalie Yang
Diagnosis certain

Presentation

Pelvic pain in a patient with known uterine didelphys.

Patient Data

Age: 25 years
Gender: Female
Race: Other

Uterine didelphys is noted.

A large right adnexal complex lesion with dilated right Fallopian tube filled with fluid. Tiny low signal intensity foci in the non-dependent portions consistent with complicated gas formation. Minimal perifocal free fluid is seen.

Case Discussion

Female patient with uterine didelphys. The right cervix was seen at colonoscopy to end in the rectum and subsequent tubo-ovarian abscess formed.

Although surgical intervention was planned, the wait list was long and the collection was subsequently drained via a transvaginal approach.

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