case_images: PMC3200217_01
case_images: (a) Chest radiography showed a closed right-sided costaphrenic angle and minimal pleural effusion. (b) CT scan did not demonstrate any abnormality. (c) Pelvic US revealed a left adnexal semisolid mass, with a thick wall and septa.
case_images: SURGERY2011-837501.001.jpg
case_images: PMC3200217_01_SURGERY2011-837501.001.jpg
case_images: fig1
case_images: Her chest radiography showed a closed right-sided costophrenic angle and minimal pleural effusion without evidence of pneumonia (Figure 1(a)). Chest computed, tomography (CT) scans were performed 6 days after the onset of menstruation, and these did not demonstrate pleural effusion or any abnormality (Figure 1(b)). Pelvic US revealed a left adnexal semisolid mass, with a thick wall and septa, measuring 71 x 61 cm (Figure 1(c)).
case_images: (a-b) T1-weighted MR image shows a unilocular high-signalintensity mass on the left side. (c-d) T2-weighted image shows that the left-sided mass remains high in signal intensity. The variable appearance of the lesion is thought to reflect the blood products.
case_images: SURGERY2011-837501.002.jpg
case_images: PMC3200217_01_SURGERY2011-837501.002.jpg
case_images: fig2
case_images: MR imaging evaluated a left adnexal mass in 67 x 57 mm diameter with, high-signalintensity areas on T1- (Figures 2(a) and 2(b)) and T2-weighted (Figures 2(c) and 2(d)) images.
case_images: Photograph of the gross specimen reveals multiple dark-brown, hemorrhagic foci and irregular cysts in the internal surface.
case_images: SURGERY2011-837501.003.jpg
case_images: PMC3200217_01_SURGERY2011-837501.003.jpg
case_images: fig3
case_images: Macroscopic appearance showed multiple irregular hemorrhagic foci and chocolate cysts (Figure 3). 