PMC5619989_01
Intraoperative laparoscopic stack images of the pelvis (June 2014): Each still image demonstrates the presence of pelvic sidewall and organ adhesions. Pus is seen clearest in still_010 as grey turbid fluid inferior to the uterus mobilised with laparoscopic instruments.
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This showed a large amount of pus in the pelvis and abdomen (Fig. 1), including a large right sub-phrenic abscess.
Transverse plane image of CT scan pelvis: An image showing presence of an organising rectouterine collection with free fluid in the pelvic cavity.
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CT Abdo-Pelvis with contrast (Fig. 2, Fig. 3) which showed the presence of adnexal collections. The largest organising collections are on either side of the midline between the rectum and uterus (Fig. 2, Fig. 3).
Coronal plane image of CT scan abdomen and pelvis: The most obvious collections are indicated by arrows (upper: right upper quadrant collection, lower: rectouterine).
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The collection on the right was 5 x 4 cm in maximum transverse dimension and the left 4.5 x 2.5 cm (Fig. 3).
Intraoperative laparoscopic stack images of the pelvis (January 2015): These images illustrate presence of adhesions (still_012-as the uterus is mobilised) and grey turbid fluid (still_011 - around the inferior aspect of the uterus).
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The findings showed (Fig. 4): Free blood stained, purulent fluid in the sub-diaphragmatic, sub-hepatic spaces and in the right para-colic gutter.