case_images: PMC7327878_01
case_images: Thoracic X-ray showing symmetrical elevation of both diaphragmatic domes and presence of collapsed small bowel in the right upper abdominal quadrant.
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case_images: fig0005
case_images: Axial image of abdominal and pelvic CT showing the large size of the cyst with a thin and regular wall, that occupied practically all the abdominal and pelvic cavities, with no contrast-enhanced solid areas, that deviated and collapsed the abdominal and pelvic viscera.
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case_images: PMC7327878_01_gr3.jpg
case_images: fig0015
case_images: Sagittal image of abdominal and pelvic CT showing the large size of the cyst and its effects on the surrounding structures.
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case_images: PMC7327878_01_gr5.jpg
case_images: fig0025
case_images: Photograph taken immediately before surgery showing a significant abdominal distension and multiple recent stretch marks.
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case_images: PMC7327878_01_gr6.jpg
case_images: fig0030
case_images: Hence, she underwent an exploratory laparotomy (Fig. 6), and it was soon confirmed that the cyst had replaced the left ovary (Fig. 7).
case_images: a) Photograph of the specimen of the left adnexectomy. Its serosa was bluish white, bright, smooth and highly vascularized. b) Photograph of the specimen of the left adnexectomy. The left uterine tube was 20 cm long.
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case_images: PMC7327878_01_gr8.jpg
case_images: fig0040
case_images: Therefore, a left adnexectomy became mandatory (Fig. 8).
case_images: Photograph of the macroscopy of the specimen (opened).
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case_images: PMC7327878_01_gr9.jpg
case_images: fig0045
case_images: The cyst had a thin wall (Fig. 9), internally coated by a single layer of a mucous secreting cylindrical epithelium of the endocervical type, with caliciform cells.