case_images: PMC11829127_01
case_images: T1-weighted magnetic resonance imaging findings in the pelvic tumor.. (A) Horizontal view. (B) Sagittal view. The size of the largest leiomyoma nodule in the pouch of Douglas was 14.5 x 9.5 x 9.4 cm. The hemorrhagic cysts inside the tumor were located in the pouch of Douglas, and the continuity with the uterus was unclear. Both ovaries and fallopian tubes were normal. Ascites was not observed.
case_images: cureus-0017-00000077519-i01.jpg
case_images: PMC11829127_01_cureus-0017-00000077519-i01.jpg
case_images: FIG1
case_images: Twelve years after the initial laparoscopic myomectomy, multiple subserous leiomyomas were detected using transvaginal ultrasonography and magnetic resonance imaging (Figure 1).
case_images: Gross and microscopic findings of the pelvic tumor. . (A) The resected tumor in the pouch of Douglas was solid. (B) The cut surface of the resected tumor revealed hemorrhagic cysts inside the tumor. (C) The resected tumor consists of benign smooth muscle cells separated by a dense fibrovascular stroma (hematoxylin and eosin staining).
case_images: cureus-0017-00000077519-i02.jpg
case_images: PMC11829127_01_cureus-0017-00000077519-i02.jpg
case_images: FIG2
case_images: A solid tumor had developed in the pouch of Douglas, which adhered firmly to the surrounding organs (Figure 2A, 2B). Histologically, the resected tumor in the pouch of Douglas was well circumscribed, with the typical features of a benign leiomyoma (Figure 2C).