Schematic shows distended , thick walled pus filled distal half of the fallopian tube
COLOR DOPPLER – Hypoechoic tube like structure with echogenic material and surronding vascularity.
Axial Pelvic CT post contrast shows B/L distended , thick walled fallopian tubes with wall enhancement and filled with pus
Axial Pelvic CT demonstrates tubular salpinx , dilated and thick walled with enhancement
Coronal T2W image demonstrates distended , thickened and folded fallopian tube (solid arrows) indicating pyosalpinx and a round thick walled cystic structure (open arrows) indicating tubo ovarian abscess
Axial T2W image demonstrates distended , thickened fallopian tube (solid arrows)with semi-effaced plicae(arrowheads) and fluid level(black arrow), indicating pyosalpinx and a round cystic structure (open arrows) indicating tubo ovarian abscess
Axial contrast-enhanced fat-suppressed T1-weighted MR images show the thickened enhancing wall of the dilated fallopian tube (solid arrows) and ovary (open arrow ), findings suggestive of pyosalpinx and tubo-ovarian abscess.
1.Semi-effaced plicae(arrowheads) in axial image above
2. Sausage shape due distention on coronal and axial images (solid arrows) help in identifying distended fallopian tube
In tubo ovarian abscess the tube is adherent to the ovary and forms a complex cystic mass , where as in pyosalpinx the tube can be delineated as mentioned above. Both conditions co-exist most of the time.
1.Fallopian Tube Disease in the Nonpregnant Patient Maryam Rezvani, MD and Akram M. Shaaban, MD
2.MR Imaging Findings of Hydrosalpinx: A Comprehensive Review
- Mi Young Kim, MD,
- Sung Eun Rha, MD,
- Soon Nam Oh, MD,
- Seung Eun Jung, MD,
- Young Joon Lee, MD,
- You Sung Kim, MD,
- Jae Young Byun, MD,
- Ahwon Lee, MD and
- Mee-Ran Kim, MD