case_images: PMC10936724_01
case_images: (a) Empty uterus with normal endometrial thickness. (b-d) Normal right ovary with normal Doppler flow
case_images: GMIT-13-56-g001.jpg
case_images: PMC10936724_01_GMIT-13-56-g001.jpg
case_images: gmit.gmit_81_23-f001
case_images: A pelvic ultrasound showed no evidence of an intrauterine pregnancy (IUP) [Figure 1], but there was a 1.2 cm left adnexal structure with minimal vascularity posterior to the left ovary and a small amount of free fluid in the pouch of Douglas (POD) [Figure 2].
case_images: (a and b) Left adnexal structure with minimal vascularity posterior to the left ovary, (c) normal left ovary, (d) small amount of free fluid in the pouch of Douglas
case_images: GMIT-13-56-g002.jpg
case_images: PMC10936724_01_GMIT-13-56-g002.jpg
case_images: gmit.gmit_81_23-f002
case_images: A pelvic ultrasound showed no evidence of an intrauterine pregnancy (IUP) [Figure 1], but there was a 1.2 cm left adnexal structure with minimal vascularity posterior to the left ovary and a small amount of free fluid in the pouch of Douglas (POD) [Figure 2].
case_images: Zinnanti Uterine Manipulator-Injector (ZUMI 4.5) (Cooper Surgical, Turnbull, CT, USA)
case_images: GMIT-13-56-g003.jpg
case_images: PMC10936724_01_GMIT-13-56-g003.jpg
case_images: gmit.gmit_81_23-f003
case_images: A uterine sound was used to estimate the uterine length before inserting a Zinnanti Uterine Manipulator-Injector (ZUMI 4.5) (Cooper Surgical, Turnbull, CT, USA) [Figure 3].
case_images: (a-c) Normal pelvic anatomy with no evidence of hemoperitoneum or ectopic pregnancy, (d) normal liver surface, no evidence of hemoperitoneum
case_images: GMIT-13-56-g004.jpg
case_images: PMC10936724_01_GMIT-13-56-g004.jpg
case_images: gmit.gmit_81_23-f004
case_images: On entry, there was neither evidence of hemoperitoneum nor EP even on uterine anteversion [Figure 4].
case_images: (a and b) Pus noted in the Pouch of Douglas. (c and d) Pus noted from tip of the inflamed appendix
case_images: GMIT-13-56-g005.jpg
case_images: PMC10936724_01_GMIT-13-56-g005.jpg
case_images: gmit.gmit_81_23-f005
case_images: Pus was noted in the POD, with the source from the tip of the inflamed appendix [Figure 5].