PMC9284429_01
Transvaginal ultrasound (TVUS) a) of the uterus in the sagittal plane, b) of the right adnexa in the sagittal plane
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F1
The transvaginal ultrasound examination showed an enlarged, integral uterus without any signs of perforation, hypoechoic fluid accumulation in the uterine cavity, unclear borders between endometrium - myometrium (Figure 1a (Fig. 1)), a mixed echogenic mass with a long axis of 38 mm in anatomical position of the right adnexa (Figure 1b (Fig. 1)) and no free fluid in the pouch of Douglas.
Computer tomography (CT) a) of the abdomen in the coronal plane with intravenous contrast, b) of the lower pelvis in the axial plane with intravenous contrast; air bubble in the uterine cavity and right adnexa
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F2
The ultrasound findings were confirmed by a computed tomography (CT) with intravenous contrast, which demonstrated the presence of an air bubble in the uterine cavity, which was full of fluid, and a right tubo-ovarian abscess as well (Figure 2 (Fig. 2)).
Magnetic resonance imaging (MRI) of the lower pelvis in the sagittal plane with intravenous contrast
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F3
On the 10th day of hospitalization, the patient underwent magnetic resonance imaging (MRI) of the lower abdomen with intravenous contrast for the purpose of evaluation of pelvic inflammation, and demonstrated concrete improvement (Figure 3 (Fig. 3)).