The presence of a mixed mass in the left adnexal area may indicate inflammatory stimulation of the left adnexal area and the presence of a mixed mass due to the encapsulation of the fallopian tubes and ovaries with unclear boundaries. It is also possible that the ovarian cysts may cause some changes in the shape of the ovaries, which may cause the fallopian tubes to become encapsulated in the mass. In this case, it is important to check the cause and the location of the mixed masses, and laparoscopy is recommended when the mass is more than 4 cm. Also, when there is an inflammatory pelvic abscess, it can cause a mixed mass in one of the adnexa, which should be treated with anti-inflammatory treatment.