PMC7424375_01
Physical examination revealed a markedly distended abdomen secondary to a large amount of ascites.
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Her abdomen was markedly distended due to a large amount of ascites (Figure 1).
Computed tomography of the abdominopelvic region shows massive loculated ascites with internal thin septation, causing posterior displacement of the intraperitoneal organs.
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The uterus and both ovaries appeared unremarkable (Figure 2).
Intraoperative findings revealed thickened matted bowel loops and necrotic debris covering the entire peritoneal surface and viscera.
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Upon laparotomy, we noted a large amount of serosanguinous ascites, thickened matted bowel loops, and necrotic debris covering the entire peritoneal surface (Figure 3).
Microscopic examination of the peritoneum revealed benign endometrial glands with stroma in a thick fibrous tissue with background of chronic inflammation (H&E staining; 10x).
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Histologic examination of peritoneum tissue showed benign endometrial glands with stroma deposited within a thick fibrous tissue and chronic inflammation background (Figure 4).
Microscopic examination of broad ligament adjacent to the right fallopian tube revealed endometriotic foci (H&E staining; 10x).
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Endometriotic foci at the broad ligament were found adjacent to an unremarkable right fallopian tube (Figure 5).