PMC6699377_01
Patient's computed tomography (CT) scan of the abdomen and pelvis before surgery.  Figure 1(a) Transverse view.  Figure 1(b) Coronal view. Black arrow demonstrates right adnexal peripherally enhancing mass with extensive surrounding inflamatory changes and foci of air compatible with tubo-ovarian absess (TOA). Blue arrow demonstrates extensive inflitration of teh mesentery with inflamatory changes as well as fluid concerning for TOA rupture and seeding of the mesentary.
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Computed tomography (CT) scan of the abdomen and pelvis demonstrated a right-sided tubo-ovarian abscess that was 8 cm in diameter with foci of internal air and extensive surrounding inflammatory changes (Figure 1).
Patient's computed tomography (CT) scan of the abdomen and pelvis after her two surgeries looking for collections that remained. Red arrows demonstrate complex perihepatic and perisplenic ascites with peritoneal enhancement concerning for postoperative purulent collections. The collections were subsequently drained percutaneously and found to represent abscesses.
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Another CT scan of the abdomen and pelvis was performed demonstrating bilateral upper quadrant fluid collections (Figure 2).