A unique pathology associated with pelvic pain and adnexal mass.

OBJECTIVE

To present a unique case of pelvic pain.

DESIGN

Case report.

SETTING

Academic institution.

PATIENT(S): Thirty-nine year-old with history of endometriosis presented with pelvic pain and possible adnexal mass.

INTERVENTION(S): Imaging results were not consistent and suggested possible adnexal mass and hydrosalpinx in different studies. Physical exam was concerning for a vaginal mass that was felt not to be contiguous with the adnexa. At laparoscopy, a 3 cm pararectal mass was identified immediately lateral to the uterosacral ligament and medial to the ureter. This mass was completely resected laparoscopically.

MAIN OUTCOME MEASURE(S): Resolution of pelvic pain.

RESULT(S): Pathologic diagnosis was ganglioneuroma. Postoperatively, the patient had resolution of her pelvic pain.

CONCLUSION(S): Pelvic ganglioneuromas are a very rare entity but emphasize the importance of a broad differential for pelvic pain.