PMC10363873_01
Pretreatment CT scan with an injection of contrast product: (a) coronal section: poorly limited heterogeneous pelvic mass comprising fluid compartments encompassing the uterus with an intrauterine device (yellow star) and compression of the right ureter (red arrow) responsible for significant dilation of the urinary cavities. (b) Oblique coronal slice and (c) axial slice: heterogeneous pelvic mass sheathing the sigmoid (red arrow) with significant colonic distension.
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PMC10363873_01_10.1177_17455057231181009-fig1.jpg
fig1-17455057231181009
CT scan with an injection of contrast product after antibiotic treatment. Axial section (a) shows the regression of the dilation of the right renal cavities and (b) of the size of the pseudo pelvic mass with the persistence of a right latero-uterine fibrous residue (red dashed circle).
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fig2-17455057231181009
A repeat CT scan, after 4 weeks of antibiotic therapy, showed a resolution of the right hydronephrosis and a reduction in the volume of the pelvic mass with the persistence of a latero-uterine fibrous residue (Figure 2).