case_images: PMC11771601_01
case_images: (A) Transvaginal ultrasound showed a heterogeneous right adnexal mass about 5 x 6 x 5 cm in size with soft tissue and fluid in content. (B) Absence of arterial flow on color Doppler within the adnexal tumor.
case_images: medi-104-e41282-g001.jpg
case_images: PMC11771601_01_medi-104-e41282-g001.jpg
case_images: F1
case_images: Absent ovarian blood flow was noted using color Doppler ultrasonographyx (Fig. 1), some soft tissue-like material and fluid were also present in the pelvic cavity.
case_images: (A) Hemoperitoneum was noted during laparoscopic exploration. (B) Multiple torsions of the right ovarian tumor. (C) Right infundibulopelvic ligament retroperitoneal hematoma was found after tumor transection. (D) Right ovarian tumor was put in a tissue bag and removed by contained manual morcellation.
case_images: medi-104-e41282-g002.jpg
case_images: PMC11771601_01_medi-104-e41282-g002.jpg
case_images: F2
case_images: Tumor bleeding, with a total of 900 mL of hemoperitoneum, was also noted during the operation (Fig. 2).
case_images: (A) Gelatinous ovarian tumor with blood clots coating after contained manual morcellation. (B) Complex glandular structures with mucinous epithelium and expansile stromal invasion were found under microscopy.
case_images: medi-104-e41282-g003.jpg
case_images: PMC11771601_01_medi-104-e41282-g003.jpg
case_images: F3
case_images: The gross appearance of the ovarian tumor was heterogeneous black gray-whitish with a marked gelatinous and blood clot coating (Fig. 3).