PMC6606835_01
Enhanced abdominal computed tomography reveals a well-enhanced, double-lobed ovarian cyst with a thick wall.
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Computed tomography showed a well-enhanced, thick-walled, double-lobed ovarian cyst (Fig. 1).
Laproscopy revealed mild adhesion between the right ovarian cyst and the retroperitoneum. findings. The right fallopian tube(2A, Arrow head) and the left adnexa(2B, Arrow) were grossly normal. Uterine leiomyoma was shown at uterine fundus.
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The left ovary and the both fallopian tubes were normal (Fig. 2A, B).
Gram staining of spiral bacteria isolated in blood culture.(x1000).
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The blood culture obtained at admission yielded gram-negative spiral bacteria on hospital day 5 (Fig. 3).
On histopathology of right ovary, many neutrophils are seen in the ovarian epithelium and stroma(4A, Hematoxylin-Eosin stain, x20). The low cuboidal epithelium with hemosiderosis is consistent with an endometrial cyst(4B, Hematoxylin-Eosin stain x200).
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Histology indicated a right ovarian endometrial cyst with abscess (Fig. 4A, B).