Indication: Pelvic pain, negative pregnancy test
Remote history of endometrial ablation and bilateral tubal ligation
Postablation tubal sterilization syndrome (PATSS)
Findings of extensive adenomyosis with left hydrosalpinx and cornual hydrometra, which given the history of endometrial ablation and bilateral tubal ligation and the complaint of pelvic pain is most suggestive of postablation tubal sterilization syndrome (PATSS).
Mildly complex cyst in the left ovary measuring up to 3.4 cm. Recommend followup pelvic ultrasound in 6-12 weeks for further assessment.