case_images: PMC5914106_01
case_images: Complex free fluid.
case_images: CRIS2018-9561798.001.jpg
case_images: PMC5914106_01_CRIS2018-9561798.001.jpg
case_images: fig1
case_images: This reported "complex fluid within the pouch of Douglas" (Figure 1), with pelvic infection representing the most likely cause.
case_images: Mass in the pouch of Douglas.
case_images: CRIS2018-9561798.002.jpg
case_images: PMC5914106_01_CRIS2018-9561798.002.jpg
case_images: fig2
case_images: On a transvaginal bedside ultrasound scan, a hyperechogenic mass was seen in the pouch of Douglas which, given the previous diagnosis of PID, was interpreted as an adnexal mass (Figure 2).
case_images: CT scan with unspecific inflammatory changes.
case_images: CRIS2018-9561798.003.jpg
case_images: PMC5914106_01_CRIS2018-9561798.003.jpg
case_images: fig3
case_images: There were some pockets of fluid and some thickened loops of small bowel, which were potentially consistent with secondary involvement of small bowel in a pelvic inflammatory process (Figure 3).