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Lipomesosalpinx: differential diagnosis of a fat-containing adnexal mass

Lipomesosalpinx is the presence of fat within the broad ligament. It is not encapsulated like a lipoma. It is not a common finding and has rarely been reported in the literature. The clinical significance is unknown. This is a case where lipomesosalpinx was present concurrently with a mature cystic teratoma. It was challenging to interpret the imaging, as both are fat containing adnexal lesions.