PMC2946616_01
T2-weighted (fat-suppressed) sagittal image of the pelvis reveals a 5.5 cm retrovesical lesion lying anterior to the rectum. It is well circumscribed. There is no pelvic sidewall lymphadenopathy.
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fig1
Computed tomography (CT) and magnetic resonance imaging (MRI) showed a smooth-surfaced, well-circumscribed egg-shaped lesion measuring 5.5 x 5.3 x 4.4 cms with central calcifications posterior to the bladder but anterior and separate from the rectum (Figure 1).
A cream-coloured ovoid mass is seen anterior to the rectum with the tip of the urethral catheter visible anterior to it.
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fig2
This revealed a mobile cream-coloured egg anterior to the rectum which was removed via a 4-cm infraumbilical incision (Figure 2).