PMC7327878_01
Thoracic X-ray showing symmetrical elevation of both diaphragmatic domes and presence of collapsed small bowel in the right upper abdominal quadrant.
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Axial image of abdominal and pelvic CT showing the large size of the cyst with a thin and regular wall, that occupied practically all the abdominal and pelvic cavities, with no contrast-enhanced solid areas, that deviated and collapsed the abdominal and pelvic viscera.
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Sagittal image of abdominal and pelvic CT showing the large size of the cyst and its effects on the surrounding structures.
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Photograph taken immediately before surgery showing a significant abdominal distension and multiple recent stretch marks.
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Hence, she underwent an exploratory laparotomy (Fig. 6), and it was soon confirmed that the cyst had replaced the left ovary (Fig. 7).
a) Photograph of the specimen of the left adnexectomy. Its serosa was bluish white, bright, smooth and highly vascularized. b) Photograph of the specimen of the left adnexectomy. The left uterine tube was 20 cm long.
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Therefore, a left adnexectomy became mandatory (Fig. 8).
Photograph of the macroscopy of the specimen (opened).
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The cyst had a thin wall (Fig. 9), internally coated by a single layer of a mucous secreting cylindrical epithelium of the endocervical type, with caliciform cells.