PMC3225467_01
A CT abdomen demonstrating the large cystic lesion seen extending from the pelvic cavity up to the level of the umbilicus measuring 9 x 11 x 12 cm indenting the bladder dome.
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A computerized tomography (CT) scan for the kidneys, ureters, and bladder revealed a large cystic lesion measuring 9 x 11 x 12 cm extending from the pelvic cavity up to the level of the umbilicus (Figure 1).
A pelvic ultrasound on the longitudinal view demonstrating the large adnexal cyst with septations along the right wall, suggesting an origin from the right ovary.
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There were features of septations along the right wall of the cyst, suggesting that it was arising from the right side of the ovary (Figure 2).
The dome of cyst that appeared hemorrhagic and congested on laparoscopy. It appeared to be completely obscuring the pelvic structures beneath.
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Intraoperatively the dome of the cyst was seen to be completely obscuring the pelvic structures (Figure 3).
The proximal end of the left fallopian tube which can be seen to be twisted post aspiration of the cyst.
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The left fallopian tube was torted twice with a normal left ovary (Figure 4).
The distal end of the left fallopian tube with evidence of further torsion, necrosis, and gangrene.
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Detorsion revealed evidence of hemorrhage and infarction on the distal end (Figure 5).