Arti Singh Dr. Arti Singh MS, DNB, is working as senior Con-sultant and Head of department Obstetrics and Gynecology, Regency Hospital, Kanpur, for the past 20 years. She has special interest in High Risk Pregnan-cies and Obstetric Critical Care Medicine. She has participated and organized various work-shops, conferences, and CMEs at local and national level, and has many publications in national journals.
Eighty-two-year-old female, multipara, presented with urosepsis. Pelvic assessment revealed foul-smelling, dirty-looking polypoidal mass protruding through vagina, which looked like a neoplastic lesion (Fig. 1). Ultrasound abdo-men was normal, but MRI revealed omentum present in the Pouch of Douglas, protruding into the vagina through its posterior wall (Fig. 2a, b). During surgery omentum was dissected, necrotic part was excised and then reposited back into abdomen, followed by the closure of the defect in pos-terior vaginal wall. Histopathological examination revealed gangrenous omentum with no evidence of malignancy or granulomatous pathology. On follow-up, the patient was completely asymptomatic.
Funding None
Conflict of interest The authors declare that they have no conflict of interest.
Informed Consent Informed consent was obtained from the patient.
