PMC4196889_01
Pelvic MRI images are shown (sagittal view).. Abbreviations: P, pubic symphysis; R, rectum.
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Pelvic magnetic resonance imaging showed 2 structures of Mullerian remnants and a cystic mass about 7.0 cm in diameter (Fig. 1) in the right side of the pelvic cavity.
Laparoscopic images are shown. Bilateral uterine remnant with fibrous band and endometriotic cyst complex are detected. Normal left ovary and fallopian tube. Bilateral fibrotic bands ending in small uterine horns on the pelvic side walls are shown. Asterisk (*) indicates bilateral fibrotic bands; long arrow indicates endometriotic cyst (right ovary).. Abbreviations: RU, right fibrotic uterine horn; LU, left fibrotic uterine horn; RFT, right fallopian tube; LFT, right fallopian tube; LO, left ovary.
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Bilateral fibrous bands with uterine horns were also removed, whereas the left ovary and fallopian tube were left in situ (Fig. 2).
Pathological analysis of the endometriotic lesion in the right ovary (A: hemosiderin deposit site, H&E, x10) and endometrial tissues in bilateral uterine horns (B,C: H&E, x10).
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The findings of the operative specimen revealed a non-canalized bilateral uterine horn with functional small endometrium, thinning smooth muscle, fibrotic right ovary, and, under histopathologic examination an endometriotic cyst (Fig. 3).