Figure 1

Surgical procedures, imaging and pathological findings. Case 1 - a) Axial preoperative abdominopelvic CT scan showing inseparable bilateral ovarian masses with coil in situ b) coronal view c) colony of Actinomyces organisms surrounded by inflammatory cells with adjacent fibrosis which had disrupted the smooth muscle of bowel wall rendering a ‘mass’ (H&E stain, 10×). Case 2 - d) preoperative abdominopelvic computed tomography (CT) scan showing right complex adnexal mass (axial) e) preoperative abdominopelvic CT showing presacral mass with IUD in situ (coronal) f) colony of Actinomyces surrounded by acute and chronic inflammatory cells. To the right of the image, there is fibrosis (H&E stain, 10×).