case_images: PMC11382235_01
case_images: Pelvic magnetic resonance imaging showing an abdominopelvic multi-septated cystic mass with T1 hypointensity and a fairly intense and regular contrast enhancement of the walls of the mass and intramural budding lesions and peritoneal leaves (a). The mass exhibits a heterogeneous content showing hyperintensity on T2-weighted imaging, containing portions with hypointensity on T2 and some thin septations (b). Presence of free peritoneal nodules (red arrow) at the level of the greater omentum (c) and the diffusion sequence showed diffusion hyperintensity of the mass wall and intramural vegetating portions (red arrow) (d).
case_images: 10.1177_2050313X241281275-fig1.jpg
case_images: PMC11382235_01_10.1177_2050313X241281275-fig1.jpg
case_images: fig1-2050313X241281275
case_images: Pelvic magnetic resonance imaging (MRI) (Figure 1) showed an abdominopelvic, multi-septated cystic mass, likely originating from the left ovary.
case_images: Results of the histological study of pelvic mass specimen. Ovarian tissue contains numerous epithelioid granulomas with giant cells. Some granulomas show central necrosis (black arrow) (HE stain 100x).
case_images: 10.1177_2050313X241281275-fig2.jpg
case_images: PMC11382235_01_10.1177_2050313X241281275-fig2.jpg
case_images: fig2-2050313X241281275
case_images: All specimens showed epitheliod granulomas with central caseous necrosis and no evidence of malignancy (Figure 2).