Auto-amputated adnexa in a young woman: Multimodal imaging to rule in a pelvic rolling stone

Case report OA: closed CC0
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-14 ⓘ

This case report uses multimodal imaging to identify and characterize an auto-amputated adnexa, describing it as a pelvic rolling stone in a young woman.

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Abstract

We report the case of a 26-year-old woman with a right auto-amputated adnexa and a free-floating mass in the pouch of Douglas using multimodal imaging studies including ultrasonography, computed tomography, and magnetic resonance imaging. The absence of an ovary and the evidence of an amorphous and potentially calcified mass, with no connection to the genital tract - in particular when it is found to be mobile - are the key imaging findings. Prospective diagnosis of adnexal auto-amputation could assist surgeons in patient management with a curative laparoscopy in symptomatic women, or potentially expectant management in young women who are asymptomatic or have unrelated symptoms.

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MeSH descriptors

Adnexal Diseases Fallopian Tube Diseases Ovarian Diseases Adnexal Diseases Adnexal Diseases Adult Calcinosis Calcinosis Douglas' Pouch Douglas' Pouch Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Female Humans Laparoscopy Laparoscopy Magnetic Resonance Imaging Ovarian Diseases Ovarian Diseases

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Cites (1)

References (10)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:21:58.428726+00:00
unpaywall
last seen: 2026-09-17T06:32:46.214484+00:00
License: CC0 · commercial use OK