PMC4560136_01
Abdominal computed tomography revealed thick-walled multilocular cystic lesions at the bilateral ovaries (white arrowheads)
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Fig1
Abdominal computed tomography (CT) revealed thick-walled multilocular cystic lesions in the bilateral ovaries, and no ascites in the pelvis (Fig. 1).
Transvaginal sonography revealed cystic lesions with septum at the bilateral ovary
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Fig2
TOA was strongly suspected, and the patient underwent transvaginal ultrasonography, which demonstrated an 11.1 x 7.9 cm left ovarian cystic mass with low echogenicity, and a 6.3 x 4.4 cm right ovarian mass with a similar echo-texture (Fig. 2).
Resected specimen of ovary, showing marked swelling of the bilateral ovaries with intraluminal abscess. Pathological examination revealed the presence of ectopic endometriosis around the ovary (white arrowheads)
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Fig3
Resected specimens of the bilateral ovaries showed marked swelling and thick-walled multilocular cystic lesions with intraluminal abscesses (Fig. 3).
a HE stain x10. The ovary showed a high degree of neutrophil infiltration with abscess formation. b HE stain x100. High-power magnification showed a cluster of neutrophils in the ovary
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Fig4
Microscopic examination of the resected specimen revealed infiltration of foamy cells and neutrophils into the abscess cavity (Fig. 4).