EURORAD ESR

Case 10039

Hydrosalpinx as a complication of Crohn's disease

Author(s)
Tonolini M

"Luigi Sacco" University Hospital,
Radiology Department;
Via G.B. Grassi 74
20157 Milan, Italy;
Email:mtonolini@sirm.org
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Initia multidetector CT urography
     

    Panoramic coronal MIP reformatted image show hypoperfused left kidney compared to contralateral one, with ureteral stent in place. Incidentally, a right-sided fluid-attenuating adnexal collection is seen.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Follow-up (preoperative) MDCT
     

    Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT-Angiography; Procedure: Dilation; Special Focus: Pathology;

    Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Panoramic coronal MIP reformatted image show hypoperfused left kidney compared to contralateral one, with ureteral stent in place. Incidentally, a right-sided fluid-attenuating adnexal collection is seen.
 
Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced contralaterally.
 
Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced contralaterally.
 
Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced contralaterally.
 
Focused coronal (b), axial (c,d) and sagittal (e) views of the pelvis confirm 7-cm well-demarcated right adnexal lesion with thin walls, fluid attenuation and apparent septations. Uterus is mildly displaced contralaterally.
 
Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.
 
Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.
 
Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.
 
Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.
 
Unenhanced (a), post-contrast images (b,c) and coronal reformations (d,e) show enlarged right adnexal lesion with thickened, enhancing walls, plus appearance of a smaller contralateral adnexal fluid-like collection.
 
 
 
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