case_images: PMC5949183_01
case_images: Sagittal section of MRI showing the 45 mm x 50 mm solid mass in the vesicovaginal septum in relation to the uterus, mass, and vagina (V).
case_images: CRIOG2018-8579026.001.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.001.jpg
case_images: fig1
case_images: On Magnetic Resonance Imaging, a 45 mm x 50 mm solid mass in the vesicovaginal septum with a well-defined margin was demonstrated (Figure 1).
case_images: Ultrasound scan showing relation of mass to uterus and vagina.
case_images: CRIOG2018-8579026.002.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.002.jpg
case_images: fig2
case_images: A repeat ultrasound scan demonstrated a 2.9 cm left ovarian cyst, suggestive of an endometrioma and a solid mass inferior to the uterus and anterior to the vagina, displacing the bladder (Figure 2).
case_images: View of mass on diagnostic laparoscopy; uterus anteverted.
case_images: CRIOG2018-8579026.003.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.003.jpg
case_images: fig3
case_images: The vaginal mass was removed with laparoscopic assessment via a midline incision on the anterior vaginal wall with lateral dissection around the cystic structure (Figures 3-6).
case_images: Marsupialisation of vaginal mass from anterior vaginal wall.
case_images: CRIOG2018-8579026.004.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.004.jpg
case_images: fig4
case_images: The vaginal mass was removed with laparoscopic assessment via a midline incision on the anterior vaginal wall with lateral dissection around the cystic structure (Figures 3-6).
case_images: Excision of vaginal mass from anterior vaginal wall.
case_images: CRIOG2018-8579026.005.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.005.jpg
case_images: fig5
case_images: The vaginal mass was removed with laparoscopic assessment via a midline incision on the anterior vaginal wall with lateral dissection around the cystic structure (Figures 3-6).
case_images: Cut surface of mass.
case_images: CRIOG2018-8579026.006.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.006.jpg
case_images: fig6
case_images: The vaginal mass was removed with laparoscopic assessment via a midline incision on the anterior vaginal wall with lateral dissection around the cystic structure (Figures 3-6). Histopathological macroscopic assessment of the mass showed pale tan tissue surrounded by a thin capsule and on sectioning a homogeneous whorled tan tissue (Figure 6).
case_images: Cross section showing alternating hypercellular areas around blood vessels (H) and hypocellular (O) areas containing slender collagen fibrils with no evidence of necrosis.
case_images: CRIOG2018-8579026.008.jpg
case_images: PMC5949183_01_CRIOG2018-8579026.008.jpg
case_images: fig8
case_images: Aggregation of cells around vessels was noted and there were no atypical mitoses, necrosis, or atypia (Figures 7 and 8).