Dermoid cyst of the ovary

Case contributed by Dr Bahman Rasuli

Presentation

Left lower abdominal pain and irregularity of menstrual periods. The ultrasound revealed a large pelvic hyperechoic lesion with distal acoustic shadowing.

Patient Data

Age: 40 years
Gender: Female
CT

65 x 76 x 95 mm well defined thin-walled complex cystic lesion with fat-fluid level and calcification occupying the left adnexal region. 

Case Discussion

Dermoid cysts are a term used almost always interchangeably with mature cystic teratomas. Dermoids derive from more than one germ layer and they can include hair, fat, muscle, teeth, skin and endocrine tissue. A fat-fluid level is diagnostic and found in 12% of ovarian dermoids. CT findings of a dermoid cyst are fat attenuation within a cyst and may be associated with calcification or a fat-fluid level.

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Case information

rID: 70958
Published: 12th Sep 2019
Last edited: 13th Sep 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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