Bilateral mature ovarian teratoma

Case contributed by Dr Abdallah Khateeb

Presentation

Severe lower abdominal pain and tenderness. No leukocytosis.

Patient Data

Age: 30 years
Gender: Female
Modality: CT
  • Both ovaries are enlarged by heterogeneous masses with prominent fatty component, within which multiple hyperdense foci are seen. 
  • There is a walled-off blood density material at the right adnexa. 
  • The ovaries contain multiple follicles arranged at their periphery. 
  • No free pelvic fluid.
  • Fat planes are not obliterated. 

Case Discussion

The identification of macroscopic fat and macro-calcifications within an adnexal lesion is highly suggestive of ovarian teratoma. It is bilateral in about 15% of the patients.

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Case Information

rID: 45057
Case created: 12th May 2016
Last edited: 29th May 2016
System: Gynaecology
Inclusion in quiz mode: Included

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