PMC3614378_01
Transvaginal USG. Dual-chamber fluid space - a cyst - 48x25 mm Thick chamber of the lesion diameter 32 mm, fluid chamber 17 mm.
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Imaging diagnostics was performed: pelvic ultrasound (Figure 1), computed tomography and magnetic resonance imaging (Figures 2-4).
Magnetic Resonance Imaging - first scan. Axial MRI 3 serial scans - the uterus has been shown.
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Imaging diagnostics was performed: pelvic ultrasound (Figure 1), computed tomography and magnetic resonance imaging (Figures 2-4).
Magnetic Resonance Imaging - second scan. Axial MRI 3 serial scans - on the next scan the ovaries can be seen.
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Imaging diagnostics was performed: pelvic ultrasound (Figure 1), computed tomography and magnetic resonance imaging (Figures 2-4).
Magnetic Resonance Imaging - third scan. Axial MRI 3 serial scans - we see the lesion that has no topographic connection neither with the uterus nor with the adnexa of uterus.
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Imaging diagnostics was performed: pelvic ultrasound (Figure 1), computed tomography and magnetic resonance imaging (Figures 2-4).
Laparoscopy. During laparoscopy the uterus and the adnexa of the uterus macroscopically unchanged and the presacral tumour localized retroperitoneally were seen.
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In the promontory region on the right side retroperitoneal a lesion with a smooth surface, mobile, 4 cm in diameter was revealed (Figure 5).
Laparoscopy. Peritoneum was cut over the lesion; a smooth cystic dual-chamber change was exposed.
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Peritoneum was cut over the lesion; a smooth cystic dual-chamber change was exposed (Figure 6).
Laparoscopy. Chambers of the cyst were punctured and contents was aspirated. The cyst was enucleated and transferred to histopathological examination during operation.
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The contents of the cyst was aspirated, the cyst was enucleated and transferred to histopathological examination intraoperatively (Figure 7).