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.
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.