Pelvic nodules in a gynecologic patient.

V. Gowri Assistant Professor and Head of Department, Department of Obstetrics and Gynecology, Sultan Qaboos University, P.O Box 35, Al-Khoud 123. Muscat, Sultanate of Oman. A 27-year-old female presented with severe dysmenorrhea and primary infertility. She had past history of post-traumatic splenectomy but was otherwise healthy. Her pelvic ultrasound was normal. She had a diagnostic hysteroscopy, laparoscopy, and a tubal patency dye test. On laparoscopy, there were multiple fleshy looking, red with blue hue nodules. In between, there were few scattered dark blue nodules on the anterior surface of the uterus, the visceral peritoneum, uterosacral ligaments, left ovarian fossa, and sigmoid colon. There were no significant adhesions. Some of those nodules were excised. The ones left behind were those in tricky anatomical locations like on the sigmoid colon and the ovarian fossa. The excised nodules were sent for histopathological confirmation. The patient made unremarkable recovery.