PMC6515553_01
(a) Transvaginal ultrasonography at the first visit of the patient, showing a cystic tumor in the left adnexal area. (b) Pelvic CT on day 8 of hospitalization, showing that the infectious left ovarian cyst had grown to 10 cm (arrowheads).
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A cystic tumor of 64x 41 mm was found by transvaginal ultrasonography (Figure 1(a)). On hospital day 8, blood tests showed a further increase in WBC count to 23900/muL and CRP to 28.17 mg/dL, and pelvic CT showed that the ovarian cyst had grown to 10 cm in size (Figure 1(b)).
Fixation of the ureteral catheters to the thigh with tape. In this case, the left and right sides of the ureter where the catheter was inserted were discriminated by color. The white catheter was inserted into the right ureter, and the orange one was inserted into the left ureter.
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The catheters were fixed to the thigh with tape (Figure 2).
Laparoscopic views during the surgery. (a) The left ovary was swollen to 10 cm (arrows). (b) The uterine was firmly adhered with the left adnexa (arrows) and retroperitoneum (arrowheads). (c) The left ureter (arrows) was identified visually by moving the catheter manually back and forth from outside the body. (d) The left ovarian cyst was excised, leaving the normal part of the ovary (arrows).
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The left ovary was swollen to 10 cm and the fluid contents were purulent (Figure 3(a)). The left adnexa, posterior uterine wall, and retroperitoneum were firmly adhered (Figure 3(b)). During surgery, by moving the catheter manually back and forth from outside the body, we were able to identify the ureters visually (Figure 3(c)). The left ovarian cyst was excised, leaving the normal part of the ovary (Figure 3(d)).