Fig. 1

Contrast-enhanced CT of the abdomen and pelvis showing a heterogeneously enhancing complex mass arising from the left adnexal region. In the axial image (a), it measures 11 × 8 cm. There is no calcification, fat content, or air-fluid level within. In the coronal (b) and sagittal (c) images, it extends up to the level of the umbilicus abutting the anterior abdominal wall. Mass merges with uterus and bladder with no intervening fat planes. The mass displaces the small and large bowel