may mimic solid ovarian masses include pelvic kidney (Fig. 28-9A), diverticulitis(see Fig. 28-9B), rectosigmoid cardinoma, vascular masses, pelviclymph nodes an inflamed appendix, and pelvichematomas. Pedunculated fibroid Transabdominal view of the pelvis demonstrates a mass(M)adjacentto the uterus Transvaginal examinationdemonstrates a tissue plane between the uterusand the mass. Mimics of solid adnexal masses. Pelvic kidney Transvaginal view of the uterus (U) with a mass(K)seen behind the uterus with a tissue plane between the two. Echogenic fat (arrows )can be seen in the center of this pelvic kidney. Diverticulitis. Transvaginal view in the left pelvis shows a hypoechoicmass arising from sigmoid colon in this patient with diverticulitis. Extrauterine Cystic Pelvic Massesmay mimic solid ovarian masses include pelvic kidney (Fig. 28-9A ), diverticulitis (see Fig. 28-9B ) , rectosigmoid carcinoma, vascular masses, pelvic lymph nodes, an inflamed appendix, and pelvic hematomas. Figure - 28-8a. Pedunculated fibroid. Transabdominal view of the pelvis demonstrates a mass (M) adjacent to the uterus (U). Figure - 28-8b. Transvaginal examination demonstrates a tissue plane between the uterus and the mass. Figure - 28-9a. Mimics of solid adnexal masses. Pelvic kidney. Transvaginal view of the uterus (U) with a mass (K) seen behind the uterus with a tissue plane between the two. Echogenic fat (arrows) can be seen in the center of this pelvic kidney. Figure - 28-9b. Diverticulitis. Transvaginal view in the left pelvis shows a hypoechoic mass arising from sigmoid colon in this patient with diverticulitis. Extrauterine Cystic Pelvic Masses