case_images: PMC11786811_01
case_images: PMC11786811_02
case_images: Abdominopelvic CT showing two adnexal masses (arrows), one of them in a much superior location in relation to the pelvis.
case_images: cureus-0017-00000076802-i01.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i01.jpg
case_images: FIG1
case_images: The right adnexal mass measuring 86 x 76 mm, with marked fat density and surrounding soft tissue thickening, and the left adnexal mass, measuring 62 x 51 mm, appeared similar but lacked inflammatory findings, as shown in Figure 1.
case_images: Sagital T2 MRI images of the pelvis showing bilateral adnexal masses (arrows) with predominant fatty components and internal nodular areas (hyperintense).
case_images: cureus-0017-00000076802-i02.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i02.jpg
case_images: FIG2
case_images: To better characterize the adnexal masses, pelvic magnetic resonance imaging (MRI) was performed, confirming the presence of bilateral adnexal masses with predominant fatty components and internal nodular areas enhancing with gadolinium, as shown in Figures 2-4.
case_images: Axial MRI scan of the pelvis showing bilateral adnexal masses (white arrows) with predominant fatty components.
case_images: cureus-0017-00000076802-i03.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i03.jpg
case_images: FIG3
case_images: To better characterize the adnexal masses, pelvic magnetic resonance imaging (MRI) was performed, confirming the presence of bilateral adnexal masses with predominant fatty components and internal nodular areas enhancing with gadolinium, as shown in Figures 2-4.
case_images: Axial MRI scan of the pelvis after gadolinium injection showing the enhancing component (arrows).
case_images: cureus-0017-00000076802-i04.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i04.jpg
case_images: FIG4
case_images: To better characterize the adnexal masses, pelvic magnetic resonance imaging (MRI) was performed, confirming the presence of bilateral adnexal masses with predominant fatty components and internal nodular areas enhancing with gadolinium, as shown in Figures 2-4.
case_images: Upon surgical inspection, both adnexa were intertwined and placed up in the abdominal cavity, far from their typical anatomical position.
case_images: cureus-0017-00000076802-i05.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i05.jpg
case_images: FIG5
case_images: Despite the abnormal anatomical configuration, both adnexa were vascularized and no ischemic changes were observed (Figures 5, 6).
case_images: After untangling the adnexal masses, both adnexa were vascularized and no ischemic changes were observed.
case_images: cureus-0017-00000076802-i06.jpg
case_images: PMC11786811_02_cureus-0017-00000076802-i06.jpg
case_images: FIG6
case_images: Despite the abnormal anatomical configuration, both adnexa were vascularized and no ischemic changes were observed (Figures 5, 6).