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Fig. 1A. —42-year-old woman with perineal pain and bowel disturbance. Sagittal transvaginal sonogram of right adnexa shows complex cystic mass (white arrows) containing heterogenous internal debris. Mass is clearly separate from right ovary (RO) and posteriorly located anterior to sacrum (black arrow). Multiocular cystic lesion was also identified in left adnexa (not shown).