case_images: PMC10832595_01
case_images: Pelvic enhancement MRI showing large intra-abdominal mass.
case_images: rjad733f1.jpg
case_images: PMC10832595_01_rjad733f1.jpg
case_images: f1
case_images: Gynecologic transvaginal ultrasound revealed the following: (i) weakly echogenic nodules in the parenchyma of the uterus: myoma? (ii) No echo at the lower incision of the anterior uterine wall: diverticulum? (3) Mixed echogenic mass in the pelvis: teratoma? (iv) Mixed occupancy in the left adnexal area: tubal effusion? Pelvic enhancement MRI revealed the following (Fig. 1) (i) Right pelvic adnexal area showing mass-like abnormal signal: chocolate cyst? Encapsulated cystic lesion? Teratoma? (ii) Possible cyst in the left adnexal region; the isthmus of the anterior wall of the uterus is symptomatic. (iii) Multiple irregular nodular abnormal signals in the anterior and posterior margins of the lower uterine segment: myxoma with degeneration? Other? (iv) Multiple small lymph nodes in the pelvic wall bilaterally; small amount of pelvic fluid; soft tissue swelling around the pelvic wall.
case_images: Resected parasitic leiomyoma along with its vascular pedicle.
case_images: rjad733f2.jpg
case_images: PMC10832595_01_rjad733f2.jpg
case_images: f2
case_images: A large mass (12 cm x 10 cm x 10 cm), isolated from the uterus but connected to the greater omentum, was seen with a purplish-brown appearance and an intact envelope (Fig. 2).