PMC5914106_01
Complex free fluid.
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fig1
This reported "complex fluid within the pouch of Douglas" (Figure 1), with pelvic infection representing the most likely cause.
Mass in the pouch of Douglas.
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fig2
On a transvaginal bedside ultrasound scan, a hyperechogenic mass was seen in the pouch of Douglas which, given the previous diagnosis of PID, was interpreted as an adnexal mass (Figure 2).
CT scan with unspecific inflammatory changes.
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fig3
There were some pockets of fluid and some thickened loops of small bowel, which were potentially consistent with secondary involvement of small bowel in a pelvic inflammatory process (Figure 3).