OB/GYN CT Appearances

Tubo-Ovarian Abscess (TOA) CT Findings

• Uniform abscess with a thick wall in an adnexal location
• Often complex, multilocular mass
• Enhances on CT
• Increased fluid density
• Fallopian tube wall thickness > 5mm
• Septae in the fallopian tube
• Fluid in the cul-de-sac

Other Information About Tubo-Ovarian Abscess

Etiology:

• Typically occurs as a complication of Pelvic Inflammatory Disease (PID)
• May also be caused by other infections

Epidemiology:

• Mostly occurs in females of reproductive age

Presentation:

• Pelvic/abdominal pain
• Chills
• Fever
• Irregular vaginal bleeding and/or discharge

Prognosis:

• TOA can be treated with antibiotics