PMC10352450_01
A transvaginal ultrasound showing a formation of heterogeneous mass in the region of the right ovary and fallopian tube.
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F1
Transvaginal ultra-sound (TVUS) was performed:the uterus and left ovary were intact, no pregnancy was observed in the uterine cavity, and a heterogeneous mass of 105 x 75 mm was observed in the area of the right ovary and fallopian tube (Figure 1).
Abdominal and pelvic computed tomography showing a 35 mm heterogeneous vascularized formation in the projection of the right ovary.
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F2
CT scan during native and post I/v contrast in the arterial and port venous phases showed no pathological changes of the uterus, a 35 mm heterogeneous vascularized mass was visualized in the right ovarian projection, with a fragment of the artery widened to 4.6 mm (Figure 2).
(A) Intraoperative view of a cyanotic mass in the right corner of the uterus. (B) A closer intraoperative view of the cyanotic mass in the right corner of the uterus.
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F3
During the laparoscopy, a cyanotic mass of about 3-4 cm in size was observed in the right corner of the uterus, including the interstitial part of the right fallopian tube (EP), the mass was not ruptured, without bleeding (Figure 3).
Figure 4 (A) Immature slightly edematous chorionic villi (on the left), surrounded by erythrocytes and fibrine (in the center), with muscular wall of the isthmic part of the fallopian tube (on the right). H&E, 4x. (B) Closer view at the chorionic villi (composed of cytotrophoblast, sintytiotrophoblast), floating in blood clots background. H&E, 10x.
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F4
Ampullar, isthmic part and fimbriae were intact (Figure 4).