PMC7441432_01
Transvaginal ultrasound image of left adnexa. OV depicts ovarian tissue. Complex left adnexal mass measuring 6.9 x 4.6 x 4.7 cm3.
CRIOG2020-5897341.001.jpg
PMC7441432_01_CRIOG2020-5897341.001.jpg
fig1
Sonogram findings were significant for no intrauterine gestation, a 6.9 x 4.6 x 4.7 cm3 complex left adnexal mass, and moderate free fluid within the posterior cul-de-sac and right upper quadrant (Figure 1).
Laparoscopic image of unremarkable left fallopian tube and left ovary.
CRIOG2020-5897341.002.jpg
PMC7441432_01_CRIOG2020-5897341.002.jpg
fig2
The fimbriated end of the left fallopian tube was minimally erythematous, but no evidence of rupture or injury was noted and the left ovary was unremarkable (Figure 2).
Laparoscopic image of unremarkable right fallopian tube and right ovary.
CRIOG2020-5897341.003.jpg
PMC7441432_01_CRIOG2020-5897341.003.jpg
fig3
The right fallopian tube and ovary were also within normal limits (Figure 3).
Laparoscopic image of posterior cul-de-sac, including endometriosis and Allen-Masters window.
CRIOG2020-5897341.004.jpg
PMC7441432_01_CRIOG2020-5897341.004.jpg
fig4
The posterior cul-de-sac appeared to have adhesions and several areas of endometriosis, including the Allen-Masters window (Figure 4).
Laparoscopic image of left uterosacral ligament with the site of gestational tissue.
CRIOG2020-5897341.005.jpg
PMC7441432_01_CRIOG2020-5897341.005.jpg
fig5
Upon closer examination, the left uterosacral ligament had a 2 cm defect with abnormal tissue with bleeding (Figure 5).