Mature cystic ovarian teratoma
Updates to Case Attributes
CA 12-5-125 level was slightly raised at 94.5 U/ml (normal range less than 35). The CA19.9CA 19-9 was markedly raised at 482 U/ml (normal range less than 37).
The radiological diagnosis was a right adnexal lesion suspicious of immature cystic teratoma complicated with torsion, suspicious intraperitoneal lesions, possible peritoneal metastasis, and fatty liver.
Exploratory laparotomy, unilateral salpingectomy, and omentectomy were done. Intra-operative findings showed haemorrhagic ascitic fluid encountered upon entering the peritoneum. Gangrenous right ovarian tumour twisted x3 measuring 10 x 10cm. The capsule is intact. The uterus is normal. The left fallopian tube and left ovary are normal. The peritoneum, subdiaphragmatic space, liver, spleen, omentum, and bowel are normal.
-<p>CA 12-5 level was slightly raised at 94.5 U/ml (normal range less than 35). The CA19.9 was markedly raised at 482 U/ml (normal range less than 37).</p><p>The radiological diagnosis was a right adnexal lesion suspicious of immature cystic teratoma complicated with torsion, suspicious intraperitoneal lesions, possible peritoneal metastasis, and fatty liver.</p><p>Exploratory laparotomy, unilateral salpingectomy, and omentectomy were done. Intra-operative findings showed haemorrhagic ascitic fluid encountered upon entering the peritoneum. Gangrenous right ovarian tumour twisted x3 measuring 10 x 10cm. The capsule is intact. The uterus is normal. The left fallopian tube and left ovary are normal. The peritoneum, subdiaphragmatic space, liver, spleen, omentum, and bowel are normal.</p>- +<p><a href="/articles/ca-125" title="CA-125">CA-125</a> level was slightly raised at 94.5 U/ml (normal range less than 35). The <a href="/articles/ca-19-9" title="CA 19-9">CA 19-9</a> was markedly raised at 482 U/ml (normal range less than 37).</p><p>The radiological diagnosis was a right adnexal lesion suspicious of immature cystic teratoma complicated with <a href="/articles/ovarian-torsion" title="Torsion of ovaries">torsion</a>, suspicious intraperitoneal lesions, possible <a href="/articles/peritoneal-metastases" title="Peritoneal metastases">peritoneal metastasis</a>, and <a href="/articles/hepatic-steatosis" title="Fatty liver">fatty liver</a>.</p><p>Exploratory laparotomy, unilateral salpingectomy, and omentectomy were done. Intra-operative findings showed haemorrhagic ascitic fluid encountered upon entering the peritoneum. Gangrenous right ovarian tumour twisted x3 measuring 10 x 10cm. The capsule is intact. The uterus is normal. The left fallopian tube and left ovary are normal. The peritoneum, subdiaphragmatic space, liver, spleen, omentum, and bowel are normal.</p>
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Updates to Primarylink Attributes
Updates to Study Attributes
The right ovary is not visualised. Heterogenous solid-cystic mass seen in the right iliac fossa with extension beneath segment VI of the liver. The cystic component contains debris and calcifications within. No colour doppler seen within the mass, thus suggestive of ovarian torsion.
The right fallopian tube is oedematous with minimal vascularity within. A normal fallopian tube is not usually seen on ultrasound.
Free fluid within the pelvis.
The uterus is normal.
Left adnexa is not seen in this ultrasound.
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