Presentation
Chronic pelvic pain.
Patient Data
adhesions between the anterior rectal wall and posterior vaginal fornix
fibrosis and adhesions between the sigmoid colon, the posterior aspect of the uterus, and the left ovary (axial, sagittal)
thickened with nodular margins of the left uterosacral ligament
retraction of the left ovary and fallopian tube towards the left torus uterinus. There is also a cystic ovarian lesion measuring 20 mm.
there seem to be adhesions between the appendix and the right ovary
probable fat necrosis
anterior intramural uterine leiomyomas
OPERATIVE REPORT (synopsis):
There are omental parietal adhesions in the left flank. Retraction of the left ovary and the fallopian tube around the base of the uterosacral ligament.
The appendix is laying below the right ovary, which is adherent to its fossa.
Bilateral adnexectomy after adhesiolysis. IUD removal
Case Discussion
Features of deep pelvic endometriosis with involvement of the posterior and middle compartments.
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