Uncomplicated struma ovarii in an old-aged woman with total uterine prolapse

In our case, a female multipar patient aged 66, applied to our clinics because of a protrusion of tissue from the vagina. Her complaint has continued for four years. In the patient’s anamnesis and family history, no chronic disease or surgical examination with an unremarkable family history except for hypertension and glaucoma was observed. The patient’s gynecological examination showed, total uterine prolapse with stage III was assessed. In transvaginal ultrasonographic examination (General Electic Logiq S6® , 1.5-4.5 MHz probe, Waukesha, WI U.S.A.) the uterus 5x7x4 centimeters in diameter; the uterine myometrium was homogeneous, no focal lesion was seen within it; the endometrial three layer pattern measured at 4 millimeters and in the left adnexal area was revealed a 2.5-cm cystic lesion with no septations, welldemarcated, hypoechoic mass most likely ovarian in origin by location alone (Fig.1).