case_images: PMC10870938_01
case_images: MRI appearance. (A) Sagittal T2 image showing thickening of the junctional zone. (B-D) Axial T2 weighted images and axial T1 weighted fat suppressed images showing a left latero uterine mass containing spots of hemorrhagic content. (E) Diffusion-weighted images (b = 1,000) showing no diffusion restriction. ADC-mean value of 1.4x10-3 mm2/s. (F) Enhancement curve of the lesion compared to that of myometrium and endometrium.
case_images: jbsr-108-1-3420-g1.jpg
case_images: PMC10870938_01_jbsr-108-1-3420-g1.jpg
case_images: F1
case_images: T2-signal intensity similar to endometrium and hyperintense T1 spots after fat suppression, consistent with hemorrhagic content (Figure 1). This lesion seemed to be distinct from the left ovary and, no pedicle attached it to the uterus. The lesion showed no diffusion restriction (ADC 1.4) and progressive enhancement (type 1 curve compared with that of uterine myometrium), similar to that of endometrium (Figure 1).
case_images: Ultrasound showing nodular lesion with hyperechoic spots and cyst-like areas. Lateral to the uterus.
case_images: jbsr-108-1-3420-g2.jpg
case_images: PMC10870938_01_jbsr-108-1-3420-g2.jpg
case_images: F2
case_images: The mass was diffusely hyperechoic, with the presence of a few bright spots that could correspond to microcysts (Figure 2).
case_images: Unenhanced pelvic CT-scan illustrating the nodule containing hyperdense spots.
case_images: jbsr-108-1-3420-g3.jpg
case_images: PMC10870938_01_jbsr-108-1-3420-g3.jpg
case_images: F3
case_images: Photographs of the resected mass from the Douglas pouch.
case_images: jbsr-108-1-3420-g4.jpg
case_images: PMC10870938_01_jbsr-108-1-3420-g4.jpg
case_images: F4
case_images: There was no lesion arising from the ovary, fallopian tube, or uterus (Figure 4).
case_images: Photomicrographs of the resected mass (hematoxylin and eosin stain on the left and immunochemistry CD 10 marker on the right) showing endometrial glands and endometrial stroma.
case_images: jbsr-108-1-3420-g5.jpg
case_images: PMC10870938_01_jbsr-108-1-3420-g5.jpg
case_images: F5