MR Imaging of Tubo-Ovarian Abscess

Adnexal Masses Caused by Pelvic Inflammatory Disease: MR Appearance

“…Almost 20z of the cases with tubo-ovarian abscess lack clinical signs of acute infection. 1,7 DiŠerential diagnosis from adnexal neoplasm and endometrioma is necessary. 15 As a matter of fact, in our series comprising 15 patients, two patients completely lacked signs of infection and anotherˆve patients presented with unusual and confusing symptoms.…”

“…Its characteristics include endometritis, salpingitis, oophoritis, pelvic peritonitis, and tubo-ovarian abscess (TOA). [1][2][3] The severe form of PID, which is deˆned by the existence of a pelvic mass, requires prolonged intravenous administration of broad-spectrum antibiotics and possible surgical intervention. 3,4 Sonography is of course the modality of choice for identifying an in‰ammatory adnexal mass.…”

“…5,6 The simultaneous presence of benign or malignant ovarian neoplasm, endometrioma or hemorrhagic cyst can hinder diagnosis. Moreover, up to 20z of patients with TOA lack clinical symp-toms of acute infection 1,7 and can be mistaken as having an adnexal neoplasm that needs to be distinguished as either malignant or benign. In these equivocal or unsuspected cases, another imaging modality is required as a problem-solving alternative.…”

“…Several reports have described CT as valuable in such cases; [8][9][10][11] however, to our knowledge, reports of MR imagingˆndings of this condition are limited. 1,2,12 The purpose of this study is to describe the appearance of in‰ammatory adnexal masses in a relatively large series of MR images and to correlate them with surgicalˆndings.…”

Role of imaging in female infertility [Dr. K.M. Rai Memorial Oration Award]

“…The presence of a high-signal-intensity inner rim on T1W images and enhancement on postcontrast images are helpful signs. [8] MRI is superior to USG for revealing an infected uterus and broad ligament which appear hyperintense on T2W images.…”