PMC10008137_01
CECT of the abdomen and pelvis showing contrast extravasation from the left side of the posterior wall of urinary bladder (short arrow) into the vaginal vault of tract with intravesical fimbrial herniation (asterisk) and a right ovarian cyst (long arrow), stuck to sutured vaginal vaul
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F1
The contrast enhanced computed tomography (CECT) scan of the abdomen and pelvis revealed contrast extravasation from the left side of the posterior wall of urinary bladder into the vaginal vault of tract (1x2x5 cm) and a right ovarian cyst which was stuck to the sutured vaginal vault (Figure 1).
Image showing (A) right ovarian cyst (long arrow) densely adhered near the left vaginal vault apex located near the VVF site (arrow head) with right fimbrial herniation (asterisk) into the bladder (short arrow) through the VVF tract, (B) bladder (short arrow) and vaginal end (long arrow), post right salpingo-oophorectomy [Cystoscopic view showing papillary frond like mass (asterisk) protruding intravesically (arrow) from VVF site (arrow head)], (C) gross specimen of serous cystadenoma of the right ovary with fimbria
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F2
Left ureteric orifice couldn't be visualized (Figure 2). O'Conners VVF repair with left ureteric reimplantation. On exploratory laparotomy, the right ovarian cyst was densely adhered near the left vaginal vault apex which was located near the VVF site with right fimbrial herniation into the bladder through the VVF tract (Figure 2).