Fig. 9

Pelvic inflammatory disease with pyosalpinx on CT. This patient presented to the accident and emergency department with abdominal pain and pyrexia. She had a raised white cell count and CRP. The clinicians suspected an intra-abdominal collection. a CT demonstrates bilateral adnexal complex fluid-filled and thick-walled cysts typical for tubo-ovarian abcess formation, a complication of pelvic inflammatory disease. b Coronal reformat of the CT demonstrates bilateral tubo-ovarian abcesses as well as distention of multiple bowel loops due to an associated ileus