Tubo-ovarian abscess

Case contributed by Mohamed Salah Ayyad
Diagnosis almost certain

Presentation

Abdominal pain and fever.

Patient Data

Age: 20 years
Gender: Female
mri

A right adnexal multilocular oblong-shaped lesion with a low T1 and high T2 signal is noted. The post-contrast study shows marginal enhancement of its thick walls. The lesion shows marked diffusion restriction. Note the surrounding smudging of fat planes.

Case Discussion

This is a case of tubo-ovarian abscess showing the characteristic signs in magnetic resonance in the form of marginal enhancement and diffusion restriction. The radiological signs matched the patient's presentation with acute abdomen and high-grade fever.

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