title: A unique pathology associated with pelvic pain and adnexal mass.
abstract: OBJECTIVE
  To present a unique case of pelvic pain.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic institution.
  
  
  METHODS
  Thirty-nine year-old with history of endometriosis presented with pelvic pain and possible adnexal mass.
  
  
  METHODS
  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.
  
  
  METHODS
  Resolution of pelvic pain.
  
  
  RESULTS
  Pathologic diagnosis was ganglioneuroma. Postoperatively, the patient had resolution of her pelvic pain.
  
  
  CONCLUSIONS
  Pelvic ganglioneuromas are a very rare entity but emphasize the importance of a broad differential for pelvic pain.
authors.affiliation: Northwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology, Chicago, Illinois 60611, USA.
authors.forename: Courtney
authors.initials: C
authors.lastname: Lim
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hirshfeld-Cytron
authors.forename: Caitlin
authors.initials: C
authors.lastname: McCarthy
authors.forename: Zong-Ming
authors.initials: ZM
authors.lastname: Chen
authors.forename: Magdy P
authors.initials: MP
authors.lastname: Milad
mesh_terms: D000291:Adnexal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005729:Ganglioneuroma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D010052:Ovariectomy; D010386:Pelvic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology*; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color