Tubular structure in the pelvis region.
Purulent material was obtained on ultrasound-guided centesis without complications. However, reactive mesentery was noted throughout the pelvis. The position of this tube would fit with a uterus. This patient may be a hermaphrodite with secondary pyometra. I cannot make a direct connection from the tubular structure to the prostate itself as they appear to be separate. I recommend exploratory surgery with removal of this structure. The ureters do not appear to be involved. The position and structure would be that of a uterus. Therefore, treatment for pancreatitis and localized infection in the region of the pelvis would be recommended with IV fluid support, broad spectrum antibiotics such as Enrofloxacin and Clindamycin combination as well as exploratory surgery. If the tubular structure is confirmed to be a uterus and hermaphroditism then examination for possible ovaries would also be warranted even though none were visible in the image set. Regardless, this tubular structure necessitates surgical resection.