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PMC10088051_03
A. CECT of the whole abdomen showed heterogeneously enhancing solid cystic left ovary mass with septations; B. Left ovary mass displaying solid-cystic areas with black pigmentation; C. The histological examination of the left ovary mass shows dense inflammation, necrosis and scattered numerous fungal hyphae covered by a thick capsule (HE, 40x); D. Necrotic debris with interspersed fungal elements (HE, 100x); E. Florid fungal septate hyphae displaying acute angle branching (PAS, 400x); F. Microscopy of left fallopian tube reveals unremarkable histology (HE, 100x).
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The contrast enhanced tomography (CECT) of the whole abdomen showed a heterogeneous enhancing solid cystic lesion with septations measuring 10x9.5x9.0 cm in the left ovary (Figure 1A). The cut surface of the incised mass showed cystic and solid areas with interspersed black pigmentation (Figure 1B). They were having florid fungal septate hyphae with dichotomous branching and was diagnosed as ovarian Aspergillosis (Figures 1C-E). The microscopy of sections from the left fallopian tube showed unremarkable histology (Figure 1F).
PMC10088051_04