Presentation
Fever and pelvic pain
Patient Data
Age: 30 years
Gender: Female
From the case:
Mature cystic ovarian teratoma
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Transverse
Transverse pelvic scan (superior to inferior) and Longitudinal (right to left):
- Bilobed pelvic mass with 'tip of iceberg' appearance suggesting ovarian dermoid. Pelvic fluid.
- Bilateral paracolic collections with stranding suggesting infected fluid.
From the case:
Mature cystic ovarian teratoma
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Surgical specimen shows bilobed lesion which contained pus.
When opened, the contents confirmed a dermoid with hair, fat, etc.
Case Discussion
The typical ultrasound appearance of a dermoid (mature cystic ovarian teratoma) in the pelvis of a female with added information (history and paracolic collections) suggesting that it has been complicated by infection.