case_images: PMC11735067_01
case_images: Ultrasound image shows the presence of a hyperechogenic structure in the anterior wall of the uterus (a, b).
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case_images: Upon ultrasound examination 1 month later, findings indicated incomplete uterine serosa and a hyperechoic structure located in the anterior uterine wall (Figure 1a, b), which suggested the possibility of incarceration of the abdominal omentum majus.
case_images: Pelvic magnetic resonance imaging (MRI) showed that adipose tissue was embedded in the anterior wall of the uterus to the uterine cavity by axial T2-weighted image (a), axial fat-suppressed T1-weighted image (b), and sagittal fat-suppressed T2-weighted image (c).
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case_images: Magnetic resonance imaging (MRI) subsequently confirmed this diagnosis, revealing fatty tissue consistent with omentum majus within the uterine cavity (Figure 2a-c).
case_images: Hysteroscopy examination revealed a pale-pink mass with intrauterine (a). Final hysteroscopic. view with the omentum completely released (b). Laparoscopy showed an incarcerated omentum into uterine cavity through the uterine perforation site on anterior uterine wall (c). Cut off the omentum incarcerated (d). After the suture of the anterior uterine wall defect (e).
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case_images: PMC11735067_01_JOG-51-0-g002.jpg
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case_images: Hysteroscopy revealed a pale-pink mass protruding into the uterine cavity (Figure 3a, b), confirmed as the incarcerated omentum majus. Laparoscopy corroborated this finding, identifying the omentum majus through a perforation in the anterior uterine wall (Figure 3d, e).