PMC7251317_01
Ultrasound images.. (a) Blood flow signals around the cyst.. (b) (c) Cyst on the right side of the uterus.. (d) One month after surgery.
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She visited our hospital on 3/22/2019 and received an ultrasound examination, which presented a 104 mm x 55 mm x 60 mm pelvic mass on the right side of the uterus, with dense echoes, and an extremely rich blood signal in the cyst wall (Fig. 1).
Laparoscopic images.. (a) Cyst appearance.. (b) The cystic mass wall was opened, and chocolate-colored fluid was visible.. (c) The cavity was sutured.. (d) Complete removal of the cyst.
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The right ligament of the right ovary was stretched, while a large amount of tension was maintained on the surface of the uterine protrusion (Fig. 2a). When we opened the posterior wall of the uterus, a large amount of chocolate-colored thick fluid was seen (Fig. 2b). The tumour cavity was then sutured with 1-0 V-Loc   180 absorbable and barbed sutures (coviden, CO, USA) (Fig. 2c). There were multiple strong echogenic spots in the right muscular layer of the uterus, which were considered postoperative changes (Fig. 2).
Pathological images (HE 200x).
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Microscopic examination confirmed the presence of endometriotic cysts (Fig. 3).