case_images: PMC10491711_01
case_images: abdominal X-ray of the patient: A) on admission to the emergency department; B) after oral administration of gastrografin gastroenteral solution
case_images: PAMJ-45-93-g001.jpg
case_images: PMC10491711_01_PAMJ-45-93-g001.jpg
case_images: F1
case_images: The patient was given 30 ml of gastrografin gastroenteral solution; on the radiograph, the gastrografin appeared to be present in the rectum along with air-fluid levels (Figure 1).
case_images: A,B,C) computerized tomography showing air-fluid levels in the small intestine and the size of the ovarian cyst
case_images: PAMJ-45-93-g002.jpg
case_images: PMC10491711_01_PAMJ-45-93-g002.jpg
case_images: F2
case_images: Both transabdominal and transvaginal ultrasonography demonstrated a large ovarian cyst of 11.8x6 cm with thick walls but no septation, which was also confirmed by an abdominal computed tomography scan that was carried out (Figure 2).
case_images: perioperative picture showing the torted stem of the cyst in situ
case_images: PAMJ-45-93-g003.jpg
case_images: PMC10491711_01_PAMJ-45-93-g003.jpg
case_images: F3
case_images: The cyst was removed and an abdominal hysterectomy with bilateral salpingo-oophorectomy was carried out due to two big fibroids that were found during the transvaginal ultrasound (Figure 3).