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Cocoon abdomen with possible tubo-ovarian abscess

Case contributed by Rajarajan
Diagnosis probable

Presentation

Patient presented with abdominal pain. Initial USG revealed free fluid.

Patient Data

Age: 30 years
Gender: Female

On CT there is evidence of an encapsulated fluid causing subacute bowel obstruction. The transition is seen at proximal ileal level. No abrupt transition seen. There is also evidence of a thick walled right adnexal lesion; right ovary not seen separately.

Case Discussion

A young female presents with acute abdominal wall pain. Initial USG reveals free fluid. Patient was further advised contrast enhanced CT with oral contrast.

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