Presentation
Post hysterectomy with pelvic pain with the ultrasound demonstrating a pelvic cystic lesion for CT assessment.
Patient Data
The liver is mildly enlarged with a prominent Riedel lobe and mild diffuse fat attenuation, no focal lesions or dilated intrahepatic biliary radicles seen.
Evidence of the previous operation in the form of midline incision, evidence of hysterectomy with a prominent vaginal stump and non-visualized right ovary.
A multiloculated cystic lesion is seen off left midline and abutting the left side of the rectum measuring about 6 x 5 cm with thin septae with no obvious soft tissue component suggestive of lefty ovarian origin for tumor marker and gynecological correlation.
Case Discussion
This case was subjected to TAH + right oophorectomy, 6 months ago and histopathology showed endometrioid adenocarcinoma of the right ovary. She did not receive any adjuvant treatment. The patient has deep pelvic pain and ultrasound showed a pelvic cystic lesion and our CT assessment as mentioned above.
An incidentally noted Riedel lobe which is a tongue-like, inferior projection of the right lobe of the liver beyond the level of the most inferior costal cartilage on CT images.
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