PMC8017358_01
T2-weighted MRI image, coronal plane through pelvis showing the endometriotic nodule (arrow)
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F1
A pelvic magnetic resonance imaging was performed, and showed a 45 x 22 x 26cm heterogeneous mass with hemorrhagic signal developed in the right ischiorectal fossa (Figure 1).
deep endometriotic nodule
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F2
Electrosection was used next in order to minimize bleeding and to excise the mass, as well as a significant margin of healthy tissue (Figure 2).
postoperative result
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F3
The postoperative result is shown in Figure 3.
endometriotic masses
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F4
The histopathologic examination found 5 fragments, the biggest one measuring 3 x 3 x 1cm (Figure 4).
fibrous tissue showing endometrial type glands with stroma (star)
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F5
The diagnosis of endometriosis was confirmed (Figure 5).