“Ultrasound Pictures of Adnexitis”

Clinical manifestations Adnexitis: acute or slowly progressive lower abdominal pain, often
bilateral; frequently begins after menses; fever; palpable tender mass.

Diagnosis Adnexitis:
x History, physical examination
x Laboratory findings: leukocytosis, elevated ESR
x Sonography
x Transvaginal sonography may be used if needed; diagnostic laparotomy is
rarely indicated.

Adnexitis. Behind the bladder (B) is a mass with irregular echogenic
margins and a hypoechoic center (T). Hypoechoic free fluid is visible above the
mass. May be mistaken for an ovarian tumor in patients with elevated tumor
markers (diagnosis established by histologic examination)

Sonographic findings Adnexitis:
x Mixed cystic/solid mass (hypoechoic, echogenic) caused by wall thickening and
the accumulation of pus
x Tenderness to probe pressure

Accuracy of sonographic diagnosis Adnexitis: The sonographic findings are diagnostic in
approximately 80 % of all cases. This accuracy rate can be increased somewhat
by transvaginal scanning. More pronounced forms may be indistinguishable
from a tumor

about radiology Tags: Ultrasound Cases "Adnexitis"