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A 63-year-old woman presented with a 1-year history of vague pelvic and back pain. She had undergone laparoscopic surgery of the fallopian tubes 27 years earlier owing to infertility. Magnetic resonance imaging, T2 sagittal view, of the abdomen showed an 8-cm pelvic mass (Panel A). Because of concern about ovarian carcinoma, she underwent an exploratory laparoscopy, which revealed extensive adhesions of the lower abdomen and a yellow, dense mass involving the entire pouch of Douglas (Panel B). Attempts to dissect the mass led to its rupture, revealing contents that were suggestive of a dermoid cyst. However, on aspiration of the . . . [Full Text of this Article] |
A correction has been published: N Engl J Med 2009;361(20):2004.
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