Presentation
Vague abdominal pain.
Patient Data
Age: 40 years
Gender: Female
CT ABDOME AND PELVIS
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Axial C+ portal venous phase
A large lower abdominal complex cystic mass lesion is seen measuring 16.5 x 15 x 8 cm with internal septations and small wall based soft tissue mural nodules. The lesion shows fluid attenuation of its content with a pedicle connecting it to the right uterine cornu. Minimal amount of free fluid collection is seen around the basal part of the lesion.
A left adnexal 6.4 x 4.5 x 4 cm lesion is exhibiting the same characteristics as the aforementioned abdominal lesion.
Case Discussion
These bilateral complex adnexal lesions mostly represent bilateral serous cystadenocarcinoma rather than cystadenoma due to the presence of the mural nodules, with possible right ovarian torsion.
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