PMC5779778_01
(A) Preoperative vaginal B-ultrasound. Yellow arrows identify multiple left accessory cysts. (B) Laparoscopic surgery (a, left ovarian hydatid cyst; b, retroperitoneal hydatid cyst). (C) HE staining: yellow arrows identify the retroperitoneal hydatid scolex (x100). (D) HE staining: a yellow arrow identifies the left ovarian bursa (x100).
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F1
Gynecological vaginal ultrasound detected adenomyosis with the uterus having dimensions of 10.8 x 5.3 x 6.6 cm, and hypoechoic masses of 3.5 x 2.9 cm, 3.4 x 3.0 cm, and 5.5 x 4.5 cm at the left adnexa with internal compartments (features undefined; Fig. 1A). Multiple milky white retroperitoneal masses on the left pelvic cavity were visible (Fig. 1B) without abnormalities evident in the appearance of the right fallopian tube and ovary, liver or spleen evident. Postoperative pathological diagnosis confirmed (retroperitoneal cyst) E granulosus, which is also known as hydatid disease (Fig. 1C and D).
Postoperative CT scan. (A) Chest X-ray was normal. (B) Head CT revealed no abnormalities. (C) Abdominal CT scan of the bilateral kidney was normal. (D) Abdominal CT scan of the left liver lobe showed calcification, and no other abnormalities.
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F2
Preoperative routine urine and stool analysis, electrocardiogram, liver and renal function, and chest radiograph showed normal results (Fig. 2A). Examination of CT scans 3 days postsurgery indicated no abnormality in the head, or in the upper, middle, and lower abdomen, or in the pelvic cavity (Fig. 2B-D).