EURORAD ESR

Case 10362

A left tubo-ovarian abscess caused by a complicated diverticulitis

Author(s)
Di Girolamo Marco, Stefanetti Linda, Pandolfi Edoardo Maria, Cappucci Matteo, David Vincenzo.

Sant'Andrea Hospital, Department of Radiology; Via di Grottarossa 1035, 00189 Rome, Italy; Email:digirolamomarco@hotmail.com
 
Patient
female, 37 year(s)
 
 
  • Figure 1
    Ultrasound

    Transvaginal US detected a complex and painful pelvic mass reported as a tubarian flogosis. Left ovary was not recognisable with US.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Abscess;
     
     
  • Figure 2
    Fig. 2
     

    Contrast enhanced CT axial scan showed a multiloculated left adnexal mass, with contrast-enhancing wall and septa. Uterus (white arrow) was deviated to the right.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Complications; Special Focus: Abscess;

    A more cranial contrast enhanced CT axial scan showed sigmoid diverticula (white arrowhead) with hazy attenuation of the adjacent pericolic fat due to diverticulitis.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT; Procedure: Complications; Special Focus: Abscess;

    Coronal CT reformation demonstrated the contiguity between diverticula and left tubo-ovarian abscess.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT; Procedure: Complications; Special Focus: Abscess;
     
     
Transvaginal US detected a complex and painful pelvic mass reported as a tubarian flogosis. Left ovary was not recognisable with US.
 
Contrast enhanced CT axial scan showed a multiloculated left adnexal mass, with contrast-enhancing wall and septa. Uterus (white arrow) was deviated to the right.
 
A more cranial contrast enhanced CT axial scan showed sigmoid diverticula (white arrowhead) with hazy attenuation of the adjacent pericolic fat due to diverticulitis.
 
Coronal CT reformation demonstrated the contiguity between diverticula and left tubo-ovarian abscess.
 
 
 
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