Presentation
Chronic abdominal pain since long time with previous hystrectomy.
Patient Data
Right adnexial large multiloculated cystic mass reaching up to right hypochondial region and displaces the right kidney posteriorly. It measures about 14x19 cm in its two dimensions.
A well defined pelvi-abdominal cystic lesion is seen slightly inclined to the right side. It has a multiple thin walled internal sepate some assuming intracytic appearance. The cystic lesion has relatively wall thicknesss. No calcification. It measures 20x19.7x14.6 cm in its maximum three dimensions. The cystic mass indents the related superior surface of the urinary bladder and splaying as well as displaces the related small bowel loops. Anteriorly to the right the cystic mass abutts the anterior abdominal wall and posteriorly it reaches to a prevertebral location (opposite L5) and compresses the right common iliac v opposite L4. Small ovoid left sided pelvic cyst is seen likely adnexal. It measures 26x22 mm. It is likely simple ovarian cyst. The uterus could not be identified owing to previous hysterectomy.
After right oophorectomy the histopatholoy proved the diagnosis mucinous cystadenoma of the ovary.
Case Discussion
A case of right adnexal mass that is suspected radiologically to be a mucinous cystadenoma of the ovary.
After surgical intervention and histopathological examination that proved to be matching with the possible radiological diagnosis.
The case is courtesy of Dr Rana AbdulRahman, R. Radiology.