Demographics:
45 years old, Female
Indication:
Pelvic pain, negative pregnancy test; Remote history of...
Pelvic pain, negative pregnancy test; Remote history of endometrial ablation and bilateral tubal ligation
Findings
- Heterogeneous echotexture of the myometrium with globular appearance of the uterine fundus and poor definition of the endometrial/myometrial interface
- Fluid in the endometrial canal extending along the cornua and into the left fallopian tube
- No focal mass identified
- C-section scar
- Cystic structure with internal septation in the left ovary measuring 3.4 x 3.3 x 3 cm
- Normal appearance of the right ovary
- No free fluid in the cul-de-sac
Diagnosis
Postablation tubal sterilization syndrome (PATSS)
Sample Report
Findings of extensive adenomyosis with left hydrosalpinx and cornual hydrometra, which given the history of endometrial ablation and bilateral tubal ligation and the complaint of pelvic pain is most suggestive of postablation tubal sterilization syndrome (PATSS).
Mildly complex cyst in the left ovary measuring up to 3.4 cm. Recommend follow-up pelvic ultrasound in 6-12 weeks for further assessment.
Discussion