PMC6784614_01
(A) Abdominopelvic computed tomography shows a 44x25 mm sized homogenous cystic mass occupies the right lower quadrant. (B) Transabdominal ultrasonography shows a 37 mm sized hypoechoic cystic mass in the right lower quadrant.
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The non-contrast-enhanced abdominopelvic computed tomography (CT) performed in the secondary hospital prior to referral to our hospital revealed a homogeneous cystic mass measuring 44x25 mm in the right lower quadrant; no other abnormal findings were observed (Fig. 1A). Ultrasonography performed in our hospital revealed a single live fetus at 36 weeks of gestation with normal amniotic fluid and placenta as well as a 37-mm sized hypoechoic cystic mass in the right lower quadrant (Fig. 1B).
(A) Intraoperative findings: a right ischemic fallopian tubal mass (T) and a grossly normal ovary (O) are beside uterus (U). The torsion of the right fallopian tube (arrow) was observed at midportion. (B) Operative specimen: a 6x4 cm sized, ovoid shaped, purple-brown colored, diffusely congested fallopian tube.
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There was no abnormal finding such as adhesion during cesarean section but torsion of midportion of the right fallopian tube and necrosis measuring 6x4 cm size was observed (Fig. 2A). A right salpingectomy was performed and the operative specimen revealed an ovoid shaped, purple-brown colored, diffusely congested fallopian tube (Fig. 2B).