Presentation
4-month history of heavy periods and severe period pain Has muscular dystrophy. In a wheelchair.
Patient Data
Towards the right adnexa, there is a complex septated cystic structure measuring approximately 7.8 cm x 8.5 cm x 8.8 cm. This is likely ovarian in nature.
Non contrast CT Pelvis (CKD)
Well-defined lobulated septated mass arising from pelvis with no evidence of disseminated malignancy.
Widespread muscular atrophy with fatty replacement in keeping with know muscular dystrophy.
Kissing bilateral adnexal masses again noted with the left one in the pouch of Douglas and the right one in the right adnexa/anterior pelvis. Blood/blood levels seen within the right cystic adnexal mass likely part ovarian endometriomata/part hematosalpinx. T2 shading/high T1 seen in the larger left-sided mass is also likely to represent hematosalpinx with surrounding ovarian endometriomata.
No solid components or thickened septa seen on this non-contrast scan.
Trace of pelvic free fluid is likely to be physiological.
Severe fatty replacement of the muscles seen consistent with the history of muscular dystrophy.
Case Discussion
Multimodality imaging confirms the diagnosis of endometriosis. The hyperintensity on T1 and the layering are pathognomonic for endometriomas.
No contrast was given due to the patient's low eGFR.
Unable to process the form. Check for errors and try again.