Playlist 'FVW' by Liana Franciscatto

Images
Questions
Findings

What are the sonographic findings of tubo-ovarian abscess?

1. Complex adnexal structure with irregular margins, with thick wall, and internal echoes (pus) 2. Dilated/thick fallopian tube 3. Loss of tissue boundaries between an ovary and a tube 4. Pelvic pain/tenderness during transvaginal examination/ultrasound

Question 2

What can cause tubo-ovarian abscess?

Show Answer

1. Untreated or undertreated pelvic inflammatory disease (Chlamydia trachomatis, Neisseria gonorrhoeae) 2. Inflammation of adjacent pelvic structures such as the appendix, colon, or bladder (polymicrobial with a predominance of anaerobes, beta-hemolytic streptococcus) 3. Pelvic malignancies

Question 3

What are the differential diagnoses of tubo-ovarian abscess?

Show Answer

Endometriosis, dermoid cyst, cystic ovarian masses, hemorrhagic cyst, ovarian torsion, ectopic pregnancy, appendicitis, bowel inflammatory disease.

Question 4

What are the most common types of Mullerian duct anomaly?

Show Answer

Bicornuate, didelphys, unicornuate, septate, arcuate, and hypoplastic uterus.

Presentation

The patient presented to Emergency Department with right lower quadrant tenderness and heavy sporadic vaginal bleeding with clots for a month. Amplified probe test for Neisseria gonorrhoeae came back positive.

Patient Data

Age:	18 years
Gender:	Female

Radiopaedia.org

Patient Data