case_images: PMC10870105_01
case_images: Transvaginal ultrasound. Transvaginal ultrasound shows (A) the left ovary in the long axis that is attached to (B) a tubular-shaped, anechoic cyst. (C) Transverse view of the tubular-shaped cyst. (D) Doppler study shows an avascular tubular mass.
case_images: cureus-0016-00000052573-i01.jpg
case_images: PMC10870105_01_cureus-0016-00000052573-i01.jpg
case_images: FIG1
case_images: A transvaginal pelvic ultrasound with a Doppler study was obtained during her workup which revealed a 5.9 cm left ovary as shown in Figure 1A. The left ovary was adjacent to a 10.6x4.2x4.6 cm anechoic, avascular, tubular structure as seen in Figures 1B-1D.
case_images: Intraoperative views during laparoscopy. (A) A tubular-shaped cystic mass with (B) a chocolate-filled cyst at the proximal end is attached to (C) the normal-appearing left ovary. (D) The right ovary appears normal.
case_images: cureus-0016-00000052573-i02.jpg
case_images: PMC10870105_01_cureus-0016-00000052573-i02.jpg
case_images: FIG2
case_images: During her diagnostic laparoscopy, a left-sided 10x4 cm hydrosalpinx was noted with a dark cystic area near the proximal end as shown in Figures 2A-2B. There were a normal-appearing left ovary, a normal-appearing small proximal remnant of the right fallopian tube, and a normal-appearing right ovary as can be seen in Figures 2C-2D.