En el examen sonográfico vía transvaginal se visualiza masa pelvica quística con abundantes grumos sugestivo de colección purulenta y / o colección hematica post-cirugía.
Las primeras dos imagenes son de la Tomografia Axial y las dos ultimas imagenes sonograficas inicial y la previa a la re-intervención de drenaje a que fue sometida la paciente.
Female patient aged 59 with left hemi-colostomy 20 days ago for diverticulitis, which has developed a torpid postoperative course, with right lower quadrant pain that made her think of appendicitis, dismissed this possibility by sonographic study was subjected to analgesia and antibiotic therapy, thus the better picture then lie with leukocytosis of 19,000 white, fevers and chills.
When performed computerized tomography (CT) placed pelvic mass was found behind the uterus that was with myomas, dense, with multiple calcified lesions ,enlarged.
In the transvaginal sonographic examination displayed abundant cystic pelvic mass suggestive of purulent collection lumps and / or post-surgery blood collection.
It re-intervene again and is purulent collection, odorless, about 30 cc located in retro-uterine location and to annex right, drains and drainage installed. After a few days the picture improved dramatically, disappearing leukocytosis and favorable clinical evolution, the patient is discharged.
The first two images are of tomography and the last two initial sonographic images and the pre-drainage re-intervention to the patient underwent.
Masa en Sonografia Trans-vaginal 11/12/09
Masa de coleccion retro-uterina 14/12/09