case_images: PMC6118110_01
case_images: A 47-year-old lady presenting with pelvic pain and secondary amenorrhea. Transabdominal ultrasound of showing a dilated fluid-filled right adnexal lesion (arrows).
case_images: JCIS-8-32-g002.jpg
case_images: PMC6118110_01_JCIS-8-32-g002.jpg
case_images: F1
case_images: She was referred for an ultrasound examination which showed complex fluid and a tubular lesion on the right side containing some sedimenting debris [Figures 1 and 2].
case_images: A 47-year-old lady presenting with pelvic pain and secondary amenorrhea. Transvaginal ultrasound showing the thin-walled tubular structure (arrows) with adjacent pocket of free fluid (arrowheads).
case_images: JCIS-8-32-g003.jpg
case_images: PMC6118110_01_JCIS-8-32-g003.jpg
case_images: F2
case_images: She was referred for an ultrasound examination which showed complex fluid and a tubular lesion on the right side containing some sedimenting debris [Figures 1 and 2].
case_images: A 47-year-old lady presenting with pelvic pain and secondary amenorrhea. (a and b) Axial and sagittal T2 turbo spin echo showing a vertically oriented tubular fluid-filled structured with thin wall, pointing toward the right lower quadrant (arrowheads). (c and d) Axial T1 fat sat and axial T1 show the structure to be low in T1-weighted signal (arrowheads).
case_images: JCIS-8-32-g004.jpg
case_images: PMC6118110_01_JCIS-8-32-g004.jpg
case_images: F3
case_images: Gadolinium was not administered [Figure 3a-d] MRI showed no evidence of hydrosalpinx or any ovarian abnormality.
case_images: A 47-year-old lady presenting with pelvic pain and secondary amenorrhea. Coronal reformats from portal venous phase computed tomography abdomen and pelvis demonstrating the distended, mucous-filled appendix with thin walls and coarse wall calcification (arrowheads).
case_images: JCIS-8-32-g005.jpg
case_images: PMC6118110_01_JCIS-8-32-g005.jpg
case_images: F4
case_images: A tubular fluid-filled lesion originating from the cecal pole with similar measurements to MRI was noted [Figure 4].